A bunch of reasons for being on insulin rather than relying on oral agents

Achieving Glycemic Control in Type 2 Diabetes

This paper will review currently available oral therapies, with a focus on the unique attributes of the insulin sensitizers for patients with type 2 diabetes.

I’d heard this on a diabetes awareness piece but had posted anything about it here yet, because I didn’t have time to confirm it.

BUT, according to this article and the news item I watched, oral agents only reduce A1C by 1.5 – 2.0 % —

I suppose most people start out with diabetes more gradually than I did. Before my glucose tolerance test, my fasting blood sugar was never over 200, and I think (but don’t remember), it was between 150-200.

My blood sugar was elevated to over 500 at the end of a glucose tolenance test, and never went below 400 until I went on insulin, no matter what I ate or did.

And it took weeks on insulin to get it down to something reasonable.

I still haven’t “recovered” from that excusion, my blood sugar hits over 300 if I forget to bolus, and it climbs to 200 if I get disconnected from the pump for several hours (like gets pulled off at night).

I don’t think oral meds would have solved the problem even if we had played with combinations. And man, I didn’t enjoy the side effects.