Honestly it's still up in the air right now. I have glucose snacks on hand, I try to monitor how often I eat and not let it go too long, but my Hb a1c is still low and I'm still bothered once or twice a day at least. It's only maybe once a week that it gets bad enough to be super bothersome like you say, basically a panic attack.

I tried keto but it was difficult to get the variety, especially (as you say) when you're intensely craving sugar. It obviously solved the problem but was really challenging to continue, so I only lasted a couple weeks.