1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Why do some T2’s need insulin?

Discussion in 'Type 2 Diabetes' started by MKD75, Jan 1, 2018.

  1. MKD75

    MKD75 Type 2 · Well-Known Member

    Messages:
    156
    Likes Received:
    84
    Trophy Points:
    68
    I was wondering why some T2 diabetics need insulin? Is it because it progresses or is it because some people we diagnosed at extremely high levels? Will all T2 diabetics need insulin at some point?
     
    • Useful Useful x 1
  2. Boo1979

    Boo1979 Other · Well-Known Member

    Messages:
    1,849
    Likes Received:
    1,061
    Trophy Points:
    198
    Can be various things including things like progressive damage to beta cells in the pancreas, initial mis diagnosis, further metabolic dysregulation as part of the aging process, or diet related.
    Im 21 years post diagnosis and not on insulin so dont see it as an inevitable progression, but its certainly got harder over the years,
     
    • Like Like x 1
    • Informative Informative x 1
  3. Kentoldlady1

    Kentoldlady1 Type 2 · Well-Known Member

    Messages:
    734
    Likes Received:
    1,179
    Trophy Points:
    138
    My uncle was put onto insulin after several.years of being t2d. He has now been rediagnosed as t1d. I have no idea if he was misdiagnosed or has something else going on. There is a lot that we do not knw about diabetes!
     
    • Like Like x 1
    • Agree Agree x 1
  4. MKD75

    MKD75 Type 2 · Well-Known Member

    Messages:
    156
    Likes Received:
    84
    Trophy Points:
    68
    Harder how? Are you on any medication or diet alone? I am Diet only as long as I can keep around the 48 mark on a1c - I was 51 last test but only as I gained half a stone after giving up smoking so the nurse didn’t seem too concerned as long as I got back on track for he next test - I really don’t want to take tablets if I can help it.
     
  5. Boo1979

    Boo1979 Other · Well-Known Member

    Messages:
    1,849
    Likes Received:
    1,061
    Trophy Points:
    198
    Harder in terms of keeping my dose of meds stable and not escalating. Ive been on Gliclizide for 21 years and have managed to stay on a stable dose and keep my hba1c in the 40-46 range but Ive had to keep reducing carbs alongside the meds so I currently average around 30/35g daily - below that I get ill, above 50/60 my sugars go awry
     
    • Like Like x 1
    • Agree Agree x 1
  6. EllieM

    EllieM Type 1 · Moderator
    Staff Member

    Messages:
    6,909
    Likes Received:
    3,078
    Trophy Points:
    198
    Congrats on giving up smoking - that is so important for a diabetic and I agree with the nurse.
     
    • Like Like x 2
  7. MKD75

    MKD75 Type 2 · Well-Known Member

    Messages:
    156
    Likes Received:
    84
    Trophy Points:
    68
    Thank you! Will be a year smoke free in March 2018.
     
    • Like Like x 3
    • Winner Winner x 3
  8. Kittycat_7_

    Kittycat_7_ Type 2 · Well-Known Member

    Messages:
    493
    Likes Received:
    354
    Trophy Points:
    103
    Both my mum and uncle are type two's both are on insulin. My GP thinks I'll be on insulin by the Summer.
    Not every type two ends up on insulin.
     
    • Like Like x 1
  9. Daibell

    Daibell LADA · Master

    Messages:
    12,495
    Likes Received:
    7,390
    Trophy Points:
    298
    It can be due to progressive pancreatic damage after many years of very high blood sugar. It can also be the result of initial mis-diagnosis of T1 as T2 which is very common (see recent press articles). T2 won't normally progress to needing insulin if the initial diagnosis is correctly T2 (probably with excess weight and hence insulin resistance) and a low-carb diet is followed.
     
    • Like Like x 1
  10. bluemoonofky

    bluemoonofky Type 2 · Newbie

    Messages:
    3
    Likes Received:
    1
    Trophy Points:
    63
    I’m a type 2 and have been insulin dependent since 2011. I have a pump now.
     
  11. MKD75

    MKD75 Type 2 · Well-Known Member

    Messages:
    156
    Likes Received:
    84
    Trophy Points:
    68
    Why are you now on insulin? We’re the tablets not working? What were your BG or a1c levels?
     
    • Like Like x 1
  12. bluemoonofky

    bluemoonofky Type 2 · Newbie

    Messages:
    3
    Likes Received:
    1
    Trophy Points:
    63
    The tablets never worked well in controlling my blood sugar. My blood sugars were always way too high, sometimes going to 500 or higher. I’m on Aprida that goes in my pump now.
     
    • Like Like x 1
  13. B r e e

    B r e e Type 2 · Member

    Messages:
    19
    Likes Received:
    7
    Trophy Points:
    43
    Those of you who are Type 2 that were put on insulin did you begin with basal or bolus insulin?
     
  14. bluemoonofky

    bluemoonofky Type 2 · Newbie

    Messages:
    3
    Likes Received:
    1
    Trophy Points:
    63
    I was put on Lantus and novalog. So a fast acting and a long acting when I first started.
     
  15. ickihun

    ickihun Type 2 · Master

    Messages:
    13,697
    Likes Received:
    18,514
    Trophy Points:
    298
    High insulin resistance is the reason for tablets not controlling my bgs. Even on 30g carb and severe palpatations I still need insulin. A few tablets I'm intolerate too. Metformin too but I increase and decease it to help with hormones and weight gain.
     
    • Like Like x 1
  16. flowerthym

    flowerthym Type 2 · Member

    Messages:
    10
    Likes Received:
    1
    Trophy Points:
    23
    I am Type 2. inject basal insulin.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook