In Type Ii diabetes, initially there is insulin resistance, i.e. The ready insulin is not so sufficient in lowering the blood sugar, it is compensated with extra secretion of insulin, but that does not last long and insulin deficiency occurs. Initially, normal blood sugar can be maintained with diet adjustment, exercises and convert of lifestyle.
Later tablets (Sulphonylureas like Daonil, Glizid, Glynase, etc.) can help in addition insulin secretion and maintain normal blood sugar. But later on when your own insulin secretion becomes still lower, tablets may not be effective.
If you have followed the right diet, carried on quarterly exercises, and taken the prescribed treatment, without any added factors of stress, accept the fact that the time has come to switch over to insulin, the hormone, which is very much deficient in your system. It is a fact that if you have taken full care from the very starting and kept your blood sugar normal, this stage of total insulin exhaustion will come much later.
It is a misconception that Type Ii diabetic patients do not need insulin. In fact, if tablets are unable to keep a good operate of diabetic state, one should start insulin earlier rather than later. Living with higher blood sugar levels is worse because of risks of cardiovascular (heart attack, high blood pressure) complications. Insulin treatment, on the other hand, offers rest to overworked "Beta cells" of pancreas and saves them from total exhaustion. So if your doctor advises you to add insulin along with your tablets, it is to your advantage. You will need much less insulin now if you take it now. It has been seen, especially while stressful situations, that a short course of insulin for a join of months is much more helpful in maintaining good health, and later you can again come back to tablets.
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