Personally, I benefit massively from a low-carb diet for my UC- massively in comparison to not following such a diet. Sure, in my case it doesn't remotely get me into a med-free remission for any length of time, but I would basically be in a constant, massive, super-flare without the low carb diet- I have tried. In a way, had I not discovered low-carbing, I may have been better off because I would have been forced to lose my colon years ago and have thereby surgically "cured" myself of UC (I will likely have to take that step soon enough I suspect). However, that is skewed thinking, and any prednisone sparing effect of something that helps is worth it ultimately. At the very least, try - for a few days or if you can manage it, a couple weeks - eliminating all ultra-high carb things like refined/processed sugars and see if it helps. Trial and error doesn't take long- days at best for immediate reactions; weeks at most for delayed food sensitivities. A few days of experimenting is hardly a crisis of neuroticism, and if it helps, who cares if the world declares you such.
This advise doesn't just apply to carbs but to all potential food sensitivities. I disagree completely with the orthodox belief that food is irrelevant and cannot put you into a flare. Those of us who do flare to a single meal with a trigger food are not some sort of statistical freaks. Granted, there are evidently some people who are not sensitive to any foods, but many of us with IBD do, in my view, have powerful trigger foods, and for some, refined carbs are the killer, and only trial and error will tell you if that's the case. eliminating or reducing them may be no cure but it can be a prednisone sparer and flare reducer. As to the doctors who say this is all hogwash by neurotic people with OCD - this is the same profession that completely dismissed probiotics- which have been pushed heavily by the alternative health community for many decades - until the past 5 years or so. It is also the same profession that has no clue- literally no clue- as to what the cause of IBD is and when asked by most patients, will say "we don't know and who cares- just treate the symptoms". Perhaps if I tolerated 5ASA meds I could ignore basic issues like food sensitivity, but I don't have that luxury.
Anyway, we are all entitled to our beliefs, but we also owe it to ourselves to think critically, research independently, and not simply follow the advice of our almighty GI's as if it is was cutting edge or unassailable.