Diffusion-based image compression has shown remarkable potential for achieving ultra-low bitrate coding (less than 0.05 bits per pixel) with high realism, by leveraging the generative priors of large pre-trained text-to-image diffusion models. However, current approaches require a large number of denoising steps at the decoder to generate realistic results under extreme bitrate constraints, limiting their application in real-time compression scenarios. Additionally, these methods often sacrifice reconstruction fidelity, as diffusion models typically fail to guarantee pixel-level consistency. To address these challenges, we introduce StableCodec, which enables one-step diffusion for high-fidelity and high-realism extreme image compression with improved coding efficiency. To achieve ultra-low bitrates, we first develop an efficient Deep Compression Latent Codec to transmit a noisy latent representation for a single-step denoising process. We then propose a Dual-Branch Coding Structure, consisting of a pair of auxiliary encoders and decoders, to enhance reconstruction fidelity. Furthermore, we adopt end-to-end optimization with joint bitrate and pixel-level constraints. Extensive experiments on the CLIC 2020, DIV2K, and Kodak dataset demonstrate that StableCodec outperforms existing methods in terms of FID, KID and DISTS by a significant margin, even at bitrates as low as 0.005 bits per pixel, while maintaining strong fidelity. Additionally, StableCodec achieves inference speeds comparable to mainstream transform coding schemes.