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how long before going on insulin type 2
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<blockquote data-quote="phoenix" data-source="post: 79257" data-attributes="member: 12578"><p>There are lots of type 2s not using insulin. In the US the 2004 figure was 27%, though some doctors feel that it should be used more often/earlier in some cases. </p><p> There are some 'type 2s' that will need to go onto insulin because they will not be able to achieve good control whatever measures they adopt.</p><p> Some of these will have had diabetes for a long time before official diagnosis and so have lost a great deal of beta cell function already. Others will have massive insulin resistance,I ' know' one person who needs to take 1000 units of insulin a day + metformin, ( I take 25) with that type of resistance, and who knows why he is so resistant, insulin must be inevitable.</p><p>Lastly, at least 10% and may be as many as 15% of people diagnosed with type 2 probably don't have type 2 . A few will have MODY, more may have antibodies to their islet cells resulting in low levels of insulin.They will gradually lose remaining beta cell function whatever the diet and/or oral medication given. If the person is a 'non obese' type 2 it has been suggested that there is a least a 50% chance of this being the case. </p><p></p><p>What I'm pointing out is that many people initially diagnosed as type 2 insulin may be inevitable and not the result of any failure to adopt the 'correct' type of diet etc.</p></blockquote><p></p>
[QUOTE="phoenix, post: 79257, member: 12578"] There are lots of type 2s not using insulin. In the US the 2004 figure was 27%, though some doctors feel that it should be used more often/earlier in some cases. There are some 'type 2s' that will need to go onto insulin because they will not be able to achieve good control whatever measures they adopt. Some of these will have had diabetes for a long time before official diagnosis and so have lost a great deal of beta cell function already. Others will have massive insulin resistance,I ' know' one person who needs to take 1000 units of insulin a day + metformin, ( I take 25) with that type of resistance, and who knows why he is so resistant, insulin must be inevitable. Lastly, at least 10% and may be as many as 15% of people diagnosed with type 2 probably don't have type 2 . A few will have MODY, more may have antibodies to their islet cells resulting in low levels of insulin.They will gradually lose remaining beta cell function whatever the diet and/or oral medication given. If the person is a 'non obese' type 2 it has been suggested that there is a least a 50% chance of this being the case. What I'm pointing out is that many people initially diagnosed as type 2 insulin may be inevitable and not the result of any failure to adopt the 'correct' type of diet etc. [/QUOTE]
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