A person needs to be proactive and read labels and also fix their menu's accordingly. When eating out...cut out the "whites"...white rice, white flour and potatoes. It's really all about carbs. You can find low carb items in the grocery store (again read labels for hidden sugar). You can have these in very limited amounts however. It's possible! BUT if one has that sweet tooth it's hard to break old habits. I'm speaking from experience as I have type 2 diabetes. There are "educational classes" on how to address this, that are available in T.V. (you'll need a doctor's referral) and I'm sure there are classes in other areas of the country as well.
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