cenillrandy

Q:

I have been a type 2 for about 10 years, and now my doctor says my pancreas is "shot" and I should take insulin. Should I see a endocrinologist or continue to see a MD?

Dr. William Sullivan

A:

This is a common situation after having type 2 diabetes for a long period of time. As type 2 diabetes is a progressive disease, the pancreas is less able to secrete insulin over time, and oral medications used for the treatment of type 2 diabetes can become less effective. There are many options for treatment of type 2 diabetes, but often insulin is needed . Most often, a long-acting insulin is added at bedtime, in conjunction with continuing the oral medications during the day. You should ask your healthcare provider whether his or her office is able to show you how to inject with insulin and provide necessary follow-up or whether it would be best for you to see an endocrinologist to fully discuss all available options.