If I had to do it all over, I would go to an endocrinologist when first diagnosed. That type of doctor specializes in diabetes and would be the best one to evaluate and prescribe. And, more importantly, monitor kidney function to prevent kidney failure down the line. Knowing all that I know about diabetes now, I wouldn't be satisfied with the doctor's information your brother is reporting. I also would think he would be referred to a dietitian for further advice on nutrition and information on a diabetic diet.
It may not totally be the doctor's lack of informing him. It could be your brother didn't really participate in the appointment. I had a husband like that -- he never asked questions of his doctor and therefore never really knew what was going on with his own body. For example, he came home one time with a bottle of a very powerful cough medicine. I asked him what that was for as I wasn't aware that he was sick. He said he didn't know, his doctor just prescribed it. I really got upset when he came home from an appointment and said he had to have an operation. What For??? He said he wasn't sure but his doctor said he had to have it done. I went to the doctor, got the full diagnosis, had him show me in a medical book just what the problem was and what he was going to do about it (it was a hernia). Husband didn't ask any questions, just showed up when he was supposed to and submitted to whatever the doctor said. Hell, I've asked more about the surgery my CAT is having on Tuesday!!!
Whatever the situation, he should find someone who will give him a more aggressive plan for his condition.
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