Readers ask: Why Isn’t Insulin The First Choice In Treating Diabetes 2?

Why is insulin injection not an appropriate treatment for type 2 diabetes?

If your doctor prescribes insulin to treat your diabetes, they’ll talk with you about managing the risk of low blood sugar. There are other risks with taking insulin. For example, the injections can be uncomfortable. Insulin can also potentially cause weight gain or, rarely, infection at the injection site.

What is the first drug of choice for type 2 diabetes?

Metformin should be the first-line drug for managing type 2 diabetes. Insulin and sulfonylureas should be second line, and glitazones should be reserved for third line. Metformin is the only drug for type 2 diabetes that does not cause weight gain, which is an important advantage.

Is insulin the only treatment for type 2 diabetes?

People with type 2 diabetes do not always have to take insulin right away; that is more common in people with type 1 diabetes. The longer someone has type 2 diabetes, the more likely they will require insulin. Just as in type 1 diabetes, insulin is a way to control your blood glucose level.

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Why is type 2 diabetes not insulin dependent?

In response to this insulin resistance, the pancreas should make more insulin, but in the case of type 2 diabetes, this does not happen. Because of these two problems, insulin resistance and trouble making extra insulin, there is not enough of an insulin effect to move the glucose from the blood into the cells.

Why won’t my blood sugar go down with insulin?

If the insulin dose you take isn’t enough to lower high blood sugar, your doctor may change how much you take and how you take it. For instance, they may ask you to: Increase your dose. Take a fast-acting type before meals to help with swings in blood sugar after you eat.

Where should you not inject insulin?

DON’T: Inject insulin just anywhere. Insulin should be injected into the fat just underneath the skin rather than into muscle, which can lead to quicker insulin action and greater risk of low blood sugar. The stomach, thighs, buttocks, and upper arms are common injection sites because of their higher fat content.

What is the best and safest medication for type 2 diabetes?

Metformin is still the safest and most effective type 2 diabetes medication, said Bolen.

What should I eat if my sugar is high?

9 foods to help balance blood sugar levels

  • Whole wheat bread.
  • Fruits.
  • Sweet potatoes and yams.
  • Oatmeal and oat bran.
  • Nuts.
  • Legumes.
  • Garlic.
  • Cold-water fish.

What is the best pill for type 2 diabetes?

Metformin is generally the preferred initial medication for treating type 2 diabetes, unless there’s a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may reduce the risk of cardiovascular events. Metformin also has beneficial effects when it comes to reducing A1C results.

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What happens when metformin isn’t enough for type 2 diabetes?

If metformin no longer works for you, your doctor may add another drug to your treatment plan. “But there’s no magical second drug; the secondary options will depend on the individual,” she says. Your doctor may prescribe other oral medications or noninsulin injectables.

Is insulin better than metformin?

According to Diabetes Self-Management editor Diane Fennell, “the researchers found that people using metformin along with insulin had a 40% reduced risk of death and a 25% reduced risk of major heart problems compared to those using insulin alone.

Can type 2 diabetes go away?

There is no known cure for type 2 diabetes. But it can be controlled. And in some cases, it goes into remission. For some people, a diabetes-healthy lifestyle is enough to control their blood sugar levels.

Can diabetes be cured completely?

No cure for diabetes currently exists, but the disease can go into remission. When diabetes goes into remission, it means that the body does not show any signs of diabetes, although the disease is technically still present.

Does Type 3 diabetes exist?

There is no single definition of type 3 diabetes. Currently, the American Diabetes Association sets out four different groups of diabetes: Type 1 diabetes. Type 2 diabetes.

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