A member asked:

I am type2 dm taking amaryl (glimepiride) 1mg once daily.i am 30 year old female.i am not getting good control with tablet can i use insulin? which is safe?

5 doctors weighed in across 2 answers
Dr. Jeffrey Unger answered

Specializes in

You have many options for treatment. First of all, we need to know if you really have type 2 diabetes. Ask your dr to perform a GAD-antibody test. If positive, you probably have LADA, a form of autoimmune diabetes which will necessitate the use of insulin. Other options for you include GLP-1 receptor agonists (victoza) or an SGLT2 inhibitor (invokana). Ask what your A1C target is as well.GoodLuck!

Answered Jan 13, 2015

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Dr. Ayyaz Shah answered

Specializes in Dermatology

Type 2 DM is typically associated with Insulin Resistance. Most type 2 diabetics can do very well if they can stick to a good low carb diet and regular exercise which promotes weight loss and helps with Insulin resistance. Metformin may also be helpful for Insulin resistance in type 2 DM. if all of this has been tried, your doctor can make the decision regarding if Insulin needs to be started.

Answered Jul 12, 2014

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