Insulin and Type 2 Diabetes


Why do I need insulin now?

It’s important to understand that diabetes changes over time. When people first develop type 2 diabetes, their pancreas is usually making plenty of insulin, but their body is not using the insulin efficiently. This is called insulin resistance, and it can lead to a buildup of glucose in the blood. A healthy diet, regular exercise and weight loss may help improve insulin resistance. When these steps aren’t enough, diabetes pills can often help.

Even so, after a few years, things can change. The pancreas may stop making enough insulin. And even if you eat right, exercise regularly and take your diabetes pills, it can be harder to reach your blood sugar goals. At this point, your provider may switch you to a different diabetes pill or have you take more than one type. Or, you may need to take insulin shots. These shots replace the insulin that your pancreas is no longer making.

What should I know about insulin?

There are several types of insulin, including long-acting, regular-acting and rapid-acting. Your provider will work with you to select the insulin that’s right for you. He or she will show you how to inject it and tell you how to store it. You may need to take more than one shot each day to reach your blood sugar goals.

The insulin will lower your blood sugar. How quickly this happens depends on the type of insulin and where on your body you inject it. Your provider will work with you so that you understand how much insulin to take and how close to a meal or snack you should take it.

Once you start taking insulin, you may still need to take diabetes pills. You should stick with your healthy diet and get exercise on most days. Your medication, diet and exercise all work together to keep your blood sugar controlled and to keep you at your healthy best.


Copyright 2014 Main Line Health

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