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Dr Jason Fung on T2 Diabetes and Drugs
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<blockquote data-quote="Daibell" data-source="post: 1503326" data-attributes="member: 21149"><p>I have often wondered why so many overweight T2s are on long-term insulin and/or sulfonylurea when the highest priority is weight reduction together with Metformin to reduce insulin resistance and possibly markedly reduce the need for much or even any medication. This is why I'm so keen to make sure the diagnosis of Type is correct and also keen on the c-peptide test as it shows how much insulin you are actually producing. It's obvious from many posts on the forum that GPs often just guess what medication e.g. if Metformin doesn't work then add Gliclazide and then insulin regardless of the patient in front of them, their weight, their diet and whether they have high or low natural insulin.</p></blockquote><p></p>
[QUOTE="Daibell, post: 1503326, member: 21149"] I have often wondered why so many overweight T2s are on long-term insulin and/or sulfonylurea when the highest priority is weight reduction together with Metformin to reduce insulin resistance and possibly markedly reduce the need for much or even any medication. This is why I'm so keen to make sure the diagnosis of Type is correct and also keen on the c-peptide test as it shows how much insulin you are actually producing. It's obvious from many posts on the forum that GPs often just guess what medication e.g. if Metformin doesn't work then add Gliclazide and then insulin regardless of the patient in front of them, their weight, their diet and whether they have high or low natural insulin. [/QUOTE]
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