After three years of getting nowhere with diet and oral medication (mainly because of the nasty side effects to be perfectly honest) I am in my third week of using Lyxumia. And wow what a difference it has made to my BG's and overall wellbeing. I initially had nausea for the first 4 mornings with the 10mcg dose, which you take for the first two weeks. I then went onto the higher dose of 20mcg. That gave me nausea and diarrhoea for the first 5 mornings, but it then stopped.
My BG's have gone from being mid 8s to high 16s every day to mid 6s to mid 9s and I feel great! My biggest problem was needle phobia and had been avoiding injecting for a while. My DSN offered me this as an alternative and went through injecting with me, etc. I am able to cope with and am ok with it. This is coming from someone that would get hysterical and go unconscious at even the notion of a needle a couple of years ago.
If you are offered it, I would recommend it. The added bonus is it is only one injection a day!