A 38-year-old male asked:
recently diagnosed type 2 diabetes
fasting bgl is around 300.
can get upto 400 after meals
i am on pills - should i be given insulin to lower it?
2 doctor answers • 3 doctors weighed in
Geriatrics 30 years experience
Maybe but it depends: 2 schools of thought regarding how to treat newly diagnosed type 2 diabetes. One is to use pills (perhaps several) especially b/c most people are squeamish about giving themselves shots. Other opinion is to start w/insulin to aggressively lower sugars & protect pancreas. I'm not convinced either is right for everyone. So for now, i let my patients chose. Regardless, nutrition & exercise are key.
5402 viewsReviewed >2 years ago
Internal Medicine 27 years experience
Time will tell.: If it remains persistently high i would say so. Sometimes new onset diabetics with your numbers can return to adequate control with just orals and diet / exercise and wt loss, but i would say that is the exception. If you are taking more than two oral meds ( metformin plus glipizide) should strongly consider Insulin rather than adding third oral agent.
5402 viewsAnswered >2 years ago
A 35-year-old member asked:
Are insulin doses needed for type 2 diabetes smaller doses than those needed for type 1?
1 doctor answer • 4 doctors weighed in
Diabetology 33 years experience
Not necessarily: Often type ii patients who require Insulin will need larger doses than in type i diabetes. This is because of a tendency to Insulin resistance and obesity in type ii patients more so than in type i patients. Everyone is different, however, so that predicting for a particular patient is only a guess.
5926 viewsReviewed >2 years ago
A 41-year-old member asked:
Why would type 2 diabetes be treated with insulin?
1 doctor answer • 2 doctors weighed in
Endocrinology 43 years experience
High glucose: In the early stages, t2dm can be treated with diet and wt loss. Wt loss is always good, but next step are drugs that target the core defect: Insulin resistance, poor Insulin response to meals with drugs like metformin, actos, januvia (sitagliptin). In time, that may not work either, and then you need to use insulin. Wt loss may work to get you off insulin.
5150 viewsReviewed >2 years ago
A 44-year-old member asked:
How can insulin help to treat type 2 diabetes?
1 doctor answer • 1 doctor weighed in
Family Medicine 20 years experience
Insulin resistance: If you are Insulin resistant, then adding Insulin to the body can help, sometimes.
5096 viewsAnswered >2 years ago
A 42-year-old member asked:
Are insulin doses needed for type 2 diabetes or just type 1?
1 doctor answer • 1 doctor weighed in
Endocrinology 41 years experience
May be both: Insulin is definitely required for t1 diabetes. Many people will require Insulin for t2 diabetes if they don't lose weight to lower Insulin resistance, their pancreas fails with prolonged period of time, or the oral medication just isn't effective enough to control their glucose. Check w/your doctor.
5074 viewsAnswered >2 years ago
A 39-year-old member asked:
What complication occurs when a patient with type 2 diabetes takes too much insulin?
1 doctor answer • 6 doctors weighed in
General Surgery 24 years experience
Low blood glucose: The medical term is hypoglycemia. This is a dangerous condition that can lead to mental status changes, and rarely, death. Work closely with your doctor to get on the best insulin regimen.
3007 viewsReviewed >2 years ago
Last updated Jun 25, 2014
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