When to go on Insulin?

[Pura Vida]

At what point will I need to go on insulin? some say that once 2500 mg of Metformin are not sufficient to control the BG

 

[jack412]

you pick a target A1c and when the diet, exercise and drugs don't handle it, you move up to the next step


http://www.dietdoctor.com/lchf it’s a long page and a video
http://lowcarbdiets.about.com/od/lowcarb101/a/firstweek.htm

http://lowcarbdiets.about.com/od/lowcarbliving/a/Food-Cravings.htm because carbs don’t give up easy.


testing
http://www.phlaunt.com/diabetes/14045524.php
http://www.homehealth-uk.com/medical/blood_glucose_monitor_testing.htm
food count
http://www.myfitnesspal.com/

Newcastle diet aims in 8+ weeks to mimic or better the rate of ~80% remission, for surgery T2
http://www.ncl.ac.uk/magres/research/diabetes/
http://www.diabetesforecast.org/2010/mar/weight-loss-surgery-and-type-2-diabetes.html

https://www.aace.com/files/aace_algorithm.pdf

 

[Crimsonclient]

There are other alternatives to insulin out there

 

[stephiesut]

I tried various combinations of metformin, sitagliptin, gliclazide, byetta and victoza before i ended up on insulin. There are many additions to metformin, your gp or dsn can give you the best advice.