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@DFP
Avoiding too much sugar and carbs is good from a health stance. But is pretty easy and very common to lose a lot of weight / maintain ultra-skinny hipster look on a diet full of burst of sugar, carbs and little else.
Most of the "really skinny" people I know are people who just eat fruit, rice, beer and the odd cigarette. The kind of people who will start chomping sugar cubes if left in front of them.
Regarding the insulin thing, you can abuse your body with carbs and sugar, give yourself Insulin insensitivity/type II diabetes and still be as thin as a rake.
I have two uncles who had type II diabetes and were skinny, and are both now dead because of it.