Managing Type 2 Diabetes with Insulin

Managing Type 2 diabetes is certainly not an easy undertaking. Diabetes diasease has the progressive nature and nearly all people with Type 2 diabetes will eventually require insulin injections to keep their blood glucose levels under control. Type 2 diabetes is in no way “a simple form of diabetes” as many may think.

Traditional approach to managing Type 2 diabetes including prescribing a lenghty period of lifestyle intervention where person diagnosed with Type 2 diabetes is encouraged to change eating habits towards healthy eating and to start exercise. This period followed by the introduction of a single oral diabetes medication, usually metformin or sulfonylurea. A second type of oral diabetes medication is added as blood glucose control deteriorates, followed eventually by a third. Person with Type 2 diabetes urged to be careful with food and exercise more often. All this time A1C levels go up in slow but steady pace. Traditional approach in Type 2 diabetes management is deeply flawed. In reality, these people using traditional approach doing their best to comply with prescribed diabetes management but their pancreatic beta cell function still deteriorates. Eventually, people with Type 2 diabetes start on exogenous insulin therapy. But without proper education about intensive diabetes management of Type 2 diabetes with insulin regimen, improvement in A1C levels may be associated with very uncomfortable weight gain and regular hypoglycemia.

It is very important to educate people with Type 2 diabetes about every stage of diabetes disease and about every step in the intensive diabetes management. Lifestyle intervention should begin immediately for obese people diagnosed with Type 2 diabetes and be given combination drug therapy in addition to behavioral intervention (put down that doughnut right this moment!). Failure to attain an A1C level of less than 7 percent should initiate a rapid progression to intensive diabetes management.

Aggressive management of Type 2 diabetes with insulin during the earliest stages of disease process should provide individuals diagnosed with type 2 sugar diabetes with an opportunity to develop “metabolic memory”, reducing their chance of diabetes complications development.

As we enter the dawn of a new age of intensive diabetes management with mechanical sensors and insulin pumps working together, improvement in the blood glucose levels for people with type 2 diabetes seems to be heading in positive direction. Intensive diabetes management of type 2 diabetes can be achieved with the use of insulin pump therapy. People with type 2 diabetes can be successfully trained in an outpatient settings to manage their diabetes by usinng insulin pump therapy.

There are no medical contradictions to insulin therapy for type 2 diabetes. Weight gain is a common side effect of insulin therapy. Weight gain can be minimized by increasing exercise, restricting calories intake (eat less) , and taking metformin.

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