I'm afraid I can't really 'instruct' anyone as to insulin use because that's medical advice that I'm not comfortable having someone follow based on my suggestions. What I believe in is asking your doctor (preferably an endocrinologist) if you wouldn't benefit from adding insulin to your regimen.
Unless you're working with an endo, you're likely not getting the gold standard of diabetes care. It's an unfortunate fact but most GPs were educated with a chapter of diabetes info in medical school and that's about it. (That's what several of my docs over the years have admitted). That's why, for many type 2s, the first line of defense is just being handed a prescription for Metformin.
I'm a type 1 (21 years) and my husband is a type 2 (12 years), who was diagnosed by me. I speak from my experience with our diseases. He was slim at diagnosis and gained about 60 pounds over several years while struggling to maintain decent blood sugar control on several oral medications.
He'd watch me test, decide what to eat, and then bolus (inject) the amount of insulin needed to ensure that my blood sugar stayed in range, even after eating. His question was, "how in the heck can my pills handle the extra carbs of a meal, but not make me go low if I don't eat?" He claimed that "insulin makes it look so easy and predictable!". So, I sent him to his doctor to ask about night time insulin injections (also called basal insulin). She agreed, and he began injecting at night. The biggest fear people have is obviously the needle, but he was stunned with how tiny and painless it is. Then, he started seeing how quickly his blood sugar became more level.
At that point, he decided to abandon the oral meds (along with all of their side effects) and opt for insulin for meal boluses. His blood sugar and A1C almost immediately returned to normal levels. Encouraged, he began reducing the amount of carbs he ate, and saw even better results.
18 months ago, he decided to lose the weight he'd gained after diagnosis. He adopted a plan he found online, which is a combination of low carb and small, frequent meals, and has lost 50 pounds so far.
Two things I know for sure:
Diabetes is a carbohydrate-intolerance disease. Your body doesn't handle them well, so why would you eat them? (all of my carbs come from veggies)
Insulin is not a punishment. Your body needs insulin; you don't put soda in your gas tank, do you? Why wouldn't you give your body what it needs?
There are numerous medical studies that point toward people using insulin therapy earlier in their (type 2) diagnosis and doing better than people who muddle through years of oral meds and higher blood sugar. ANY time your blood sugar is over 140 nerve damage can occur.
Again, YMMV (your mileage may vary); you have to choose what you're comfortable with and what you're willing to commit to. If your labs, test results, and weight are great with eating carbs and taking pills, then more power to you! Truly, I loved bread and pasta; they just don't love me back.
But if you're struggling with either blood sugar control, out of range test results, or extra pounds that won't budge, why wouldn't you try a low carb approach for awhile? Then, you may just decide to add insulin to your lifestyle to, if necessary.
Edited by: VALERIE1619 at: 2/12/2013 (23:16)
type 1 diabetic,
showing this disease who's boss!
February 2013: NEW GOAL! I've lost 60 pounds to date, so it's time to kick these last few to the curb!
| Pounds lost: 4.4