I have to say I think they are pretty much cutting edge. When I go there I spend almost 2 hours with the nutritionist, nurse, and doctor. My first visit took half a day. I have to write down everything I eat, when I eat it, how much I eat. I take blood sugars before every meal, and two hours after at least one meal per day, as well as when I get up, and go to bed.
I see them every two months because I live so far away. It would be once a month if I was closer (I live more then 200 miles round trip.)
On the off months I have to fax all the info to them. If my carb count doesn't jive with their lists I will get a call or an email wanting to know why.
It's kinda like Diabetic Boot Camp
. We just had a fight about a panini I made. The nurse said it was 65 carbs, I said 40. I was right because I removed excess bread then weighed it. I love being right!