Is insulin in my very near future? I've been type 2 for six years, and my sugars were mid 100's - 200's. I'm currently taking 1000 Metformin twice a day, and my sugars are now mid 300's - 400's. My diet is good, plenty of exercise and physical work.

Patty Bonsignore


Research shows that about 40% of people with type 2 diabetes will need insulin to help control their blood glucose levels once they have had the disease for 10 years. This can be discouraging news for some people, but what it means is that diabetes is a disease that changes over time and, though all of your good efforts to manage it are and will continue to be extremely important, eventually you may need the added advantage of insulin to help you. How quickly the pancreas loses its ability to make enough insulin varies greatly from one person to the next. If your blood glucose levels are running as high as you have stated, it is important to figure out why. There are other oral medications you can try first before starting insulin; whether you need insulin at this point will greatly depend on what your A1C test result is. Talk to your doctor about having an A1C test, and ask your provider about other diabetes medicines available to you in addition to metformin. Remember, if you have to start insulin, that’s not a bad thing, it just means your body needs it and research has shown that the earlier you start the insulin, the easier it will be to get the blood glucose levels under control.

November 27, 2012 at 2:20 pm