Type 2 What happens if I get offered insulin therapy?

Well done! I was seeing a homeopath via the NHS a few years ago and she originally was a GP. She said that insulin therapy was safer than pills.

Obviously I know very little about you but you may still need Gliclazide/other diabetic medication for a while with basal insulin.

There is good news around the corner. In a few months there's a new combination drug coming out - Lixilan which is Lantus plus Lixisenatide. Apparently it lowers post prandial levels substantially. http://www.fiercepharma.com/pharma/...bests-both-its-ingredients-late-stage-studies

asparagusp said:

Hold on! You are jumping the gun! Once a day basal insulin is the norm to start with!

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Hi. That's not necessarily true. I was moved from tablets to Basal as all the tablets were failing to manage my high BS. My lovely DN asked for my meter readings during a 1 week period and within a month had added a Bolus as well and I have found this to be essential for me. The important thing is to ensure your readings are generally OK and to bear in mind that Late onset T1 can occur at varying rates. When it finally hits you out of any honeymoon period you are a T1 will need Basal/Bolus.

Daibell said:

Hi. That's not necessarily true. I was moved from tablets to Basal as all the tablets were failing to manage my high BS. My lovely DN asked for my meter readings during a 1 week period and within a month had added a Bolus as well and I have found this to be essential for me. The important thing is to ensure your readings are generally OK and to bear in mind that Late onset T1 can occur at varying rates. When it finally hits you out of any honeymoon period you are a T1 will need Basal/Bolus.

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Eh I did say to start with!

Hi Tezz

I've been away and only just seen this thread. I was in a similar situation to you. I was taken off SR Metformin and put on other meds which didn't control things so was sent to the community DN to discuss insulin. Best thing I ever did. I am on Lantus which is a basal and managed to drop the 4 X Glicazide tablets and also Glibencamide, so only take 1 X Forxiga in support. By low carbing I can keep within target with the minimum of medication. My hba1c was 43 in July and get my newest test results on Monday (fingers crossed).

I have to say this med regime supported by low carbing gives me no problems and I am in the best health for years and with more energy.

I have recently been prescribed a bolus to use for an occasional treat as my body simply can't deal with any starchy carbs or sugar which suits me as I am happy with low carbing on a day to day basis but we have an afternoon tea to go too and I was getting very anxious about it.

I hope you experience such good results with your change. Good luck.

What's a rich tea BISCUIT? Lol. I haven't had a sweet biscuit since I started low carbing!

I didn't manage to lower my hba1c, despite my best efforts it was up 3 to 46, not sure why as I had been generally quite low on the finger prick testing. However I've decided not to stress over it as it is still ok.

Good idea to lower bs gently otherwise you might get low carb flu or false hypos, which are unnerving.

How many carbs, roughly, are you having daily? I came down gradually and am now around 30g daily.

Good luck with your meds x

Hi @Tezzz. Apologies for being late to the thread.

I've been going through a similar experience myself recently. I've been on a combined insulin/liraglutide once-a-day injection (called Xultophy) and I've had encouraging results so far. My A1c was 11% and I had been struggling with various medications as well as trying to go low-carb. I'm still trying that, but I needed something to get me to the point where I could function as a human being before I could face those battles.

I believe the point of the combo injection is to offset the weight gain side of insulin treatments and to reduce the risk of hypos. Yes, it is a bit odd and counter-intuitive to treat hyperinsulinemia with more insulin. But for me it felt like a more promising and hopeful approach than MDI or more tablets. I hope, one day, to not need it at all. But that's going to take time and work.