Basically, the study found that a large proportion of Type 1 diabetics are gaining weight and not meeting recommended A1C levels. The question is, will the ADA change their recommendations on diet and insulin? Personally, with kids, I think a higher A1C might be more appropriate, but with adults it seems that if healthy A1C goals can't be achieved, we have to look to the diet in a more aggressive way. If you are keeping your A1Cs in line, not gaining weight, and maintaining your health, then you are doing well.
I added my 2 cents in the comments, but, since it sums up some of my experiences, frustrations and core beliefs about diabetes. I'm going to repeat it here.
Here’s the thing… if you have a kidney problem or a gall bladder removed you have a list of foods that you have to avoid to stay healthy. No one really argues with that too much. But, for some reason we have been reticent to tell PWDs (people with serious metabolic issues) that anything is off limits. Let’s get real. Let’s not treat PWDs like little children who might throw a tantrum and give them the info that they really need to be successful. I think, with more success, the issue of depression linked with diabetes could be moderated. Poor control, weight gain, the threat of complications and a constant sense of failure… that’s depressing.
I tried to meet the recommended healthy A1C requirements for years while cooking from scratch, eating all whole foods, but never sorting out the fast acting carbs part of the equation. I never got there. I gained weight, became insulin resistant, and had poor control. Once I started limiting which foods I ate, I was able to make progress in my health goals. It was wicked simple.
The fact is, anyone who uses/creates too much insulin, PWD or not, will have negative impacts in their health. Hyperinsulinemia is a real problem. The ADA needs to encourage people to use less insulin, and therefore eat less foods that require lots of insulin. Good control is within everyone’s reach, but it’s like we/they are afraid to tell the D-community that they can’t have anything they want, all the time. The mantra that we can eat just like everyone else is silly, especially when you see that the rest of the western world (everyone else) is having it’s own insulin related metabolic problems.