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What BG level is too high, should I start insulin control?

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BrenDorset

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I am taking metformin and dapagliflozin but not insulin. I've had a partial pancreatectomy, and the remaining stub has a neoplastic cyst (dormant when scanned a year ago). My HbA1c is 61. I am Type2 and maybe Type 3c together. I am not getting advice that I trust; I don't know where to get it but the question at the back of my mind is what criteria to use to start insulin. I don't know the pros and cons of non-insulin control vs insulin control
 
If your sugars are really high and I mean major around 16.0 plus that's the time to worry and ask about insulin and that you would need to speak with either your GP or diabetes team which ever your under as I'm on insulin and my sugars can fluctuate between 4-8 and then they can go up an 16.0 without any problems and I only need to adjust my insulin and it goes down but Metformin I've been on that and in the end I ended up on insulin and Metformin but it depends on the person as it's different for each other as I've been on different ways to treat my diabetes over the 30 plus years for me and the only thing that worked fine with me was insulin and my doses are lower now than they have ever been and the diabetes nurses have told me that my next move is a pump so that is to find out in a few months time so that I am looking forward to when I'm there as I'm between both groups of diabetes type 1 and type 2 so I fall in the middle group of both but it's not got a call sign in their terms for diabetes
 
It seems that quite a few people don't fit neatly into one label of dabetes type, and it's great that @Jordi77 is considered for a pump despite the ambiguity.

@BrenDorset have you had a cpeptide test? If your pancreas isn't producing enough insulin then (disclaimer am not a doctor) it seems to me that insulin is your friend.

Have you been referred to a hospital endocrinologist? I wouldn't personally trust a GP to understand more than vanilla T2, and even then maybe not that much. (T3c is (IMO) more complicated than T1, and all my many GPs have been happy to leave my T1 to the endos).
 
If I were in your shoes the question I would be asking the drs is how much insulin is my pancreas producing.
It seems a no brainer to me, you are either producing enough insulin or not.
If not, you need insulin therapy, if you are then adding more is unlikely to help your insulin resistance.
 
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