| Well, I was told I was a "classic Type 2" and the doctor refused to give me insulin because she said it would just pack weight on me. (I was and am a normal weight)
Eventually I was going over 140 mg/dl eating under 12 grams of carb a meal with a full dose of metformin and Avandia and I got my family doctor to give me some basal insulin.
And I promptly hypoed on a dose LESS than the usual starting dose for a Type 2 my size. Turns out I wasn't the least bit insulin resistant.
Now I am using 2-3 units per meal and it makes a huge difference in what I can eat and what blood sugars I get.
I do not think my situation is as rare as doctors would suggest. I think they tend NOT to give people insulin until they are on the brink of blindness or amputation and a lot of smaller people who follow the usual high carb diet recommendations get blood sugar related heart attacks first so they never find out about their insulin sensitivity.
That said I still can't get my fasting bgs down lower than the 90s, but 90s beat the 120s which is where I am without insulin relying only on diet.
I would not personally start insulin unless diet could not control the post-prandial numbers to safe levels, because hypos can be an issue.
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A1c 5.7% 10 years after diagnosis.
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