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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 answers3 doctors weighed in
Dr. Alvin Lin
Dr. Alvin Lin answered
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.
Dr. Dan Fisher
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.

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Similar questions

A 35-year-old member asked:

Are insulin doses needed for type 2 diabetes smaller doses than those needed for type 1?

1 doctor answer4 doctors weighed in
Dr. Richard Scofield
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.
A 41-year-old member asked:

Why would type 2 diabetes be treated with insulin?

1 doctor answer2 doctors weighed in
Dr. Philip Kern
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.
A 44-year-old member asked:

How can insulin help to treat type 2 diabetes?

1 doctor answer1 doctor weighed in
Dr. Clarence Lyons
Family Medicine 20 years experience
Insulin resistance: If you are Insulin resistant, then adding Insulin to the body can help, sometimes.
A 42-year-old member asked:

Are insulin doses needed for type 2 diabetes or just type 1?

1 doctor answer1 doctor weighed in
Dr. David Sneid
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.
A 39-year-old member asked:

What complication occurs when a patient with type 2 diabetes takes too much insulin?

1 doctor answer6 doctors weighed in
Dr. Jason Sample
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.

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Last updated Jun 25, 2014
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