Whereas if you look at the old FDA food pyramid and the new food plate, carbs/sugars/fruits take up a significant percentage of the recommended daily diet. Take fruit for example, prevailing norm would be fruit is healthy (especially in its natural state where it is accompanied by fiber), fruit aside most people would believe carbs (especially in whole grain form) are perfectly fine in moderation. My big guess is that an M.D. recognizes any amount of carb (fruit or whole grain being no different that high fructose corn syrup) triggers the bodies production of insulin. More and more, I think M.D.'s will have negative perspective on any/all insulin production if it can be avoided. I have more thoughts on the impacts of insulin on the body, but I hope OP will chime in with a response to see if my instincts are on point.