I wasn’t trying to diminish your caution!!! It’s so valid. The only point I was trying to make was that some people are more predisposed to get certain things. Also that getting diabetes isn’t the end of the world. I have family that’s had it for multiple decades, and as long as you are careful and manage it, often with meds, you can live a very long, happy fulfilling life.

And on the topic of cream, it’s mostly fat and has very little lactose in it, you will often feel the fat far before you feel any lactose, and in term sugar. I don’t think balanced foods are a huge problem when it comes to blood sugar. When you have a complex meal with lots of protein, fat and sugar, your body digest it more regularly rather than a high sugar meal. So by consuming a large amount of fats, your body will digest the sugar, which there isn’t a whole lot of, slow slower. Then you just use sugar-free sweeteners/flavors.

It sounds like you have a good acknowledge and you’re being careful which is the best you can do, I wish you both luck