12 misunderstandings about Insulin and type 2 diabetes

When it comes to insulin, many people often imagine giant needles or portraits of people who use insulin with low blood sugar. No matter what those fantasies are, most people are still quite shy about using insulin as a treatment. However, if you have type 2 diabetes, you need to understand insulin correctly before assessing whether this therapy is really helpful.

1. Do diabetics always need insulin?

People with type 1 diabetes (between 5% and 10% of patients with diabetes) actually need insulin. The remaining 90 – 95% of patients with type 2 diabetes may not need insulin.

In adults when infected, only 14% use insulin, 13% combine insulin and oral medications, 57% completely use oral medication, and the remaining 16% control blood sugar with diet and exercise. episode. It is important to keep blood sugar within safe limits in any way that is needed.

2. Must using insulin in treatment mean you “failed”?

This is said to be the biggest misunderstanding. According to GS. Dr Jim Crandall – Director of the Diabetes Clinical Trial Unit at Albert Einstein College of Medicine, Bronx, New York – many people who try to adhere to strict diet and exercise still need insulin.

Diabetes is a progressive disease, meaning that over time, you may need to change what you do to make sure your blood sugar is within the recommended range. Eating right and exercising are always important, but the need for medication can completely change. Most people with type 2 diabetes will eventually need insulin but that is not a “failure”.

3. Pain when injecting insulin?

This is completely wrong. With a fine needle, injecting insulin is almost painless. Many patients say that measuring blood sugar levels with a fingertip device is more painful than injecting insulin. However, when the first injection, they were surprised because there was absolutely no feeling of pain. On the market, there are many types of injection pens that allow you to measure the amount of insulin needed and these tiny needles really don’t feel painful.

4. Can insulin lower blood sugar to dangerous levels?

This is possible but the probability of danger is very low. People with type 2 diabetes often have a lower risk of hypoglycemia than type 1. A prolonged episode of hypoglycemia can cause loss of consciousness or coma. However, people with type 2 diabetes can easily recognize symptoms such as anxiety, tremor, sweating, and appetite. Using a little diluted juice or a piece of candy will help restore blood sugar.

5. Insulin is hard to carry around when going out?

Gone are the days when insulin injections were inconvenient, cumbersome. Today, insulin pen pens are easy to carry because they are compact, discreet and require no refrigeration. Usually, patients only need to use it once a day.

6. Is oral medication better than insulin?

Oral medications can be very good at reducing blood sugar, many patients have used the drug very safely for a long time. However, oral medications are not always useful in all cases. Some patients respond well to oral medications but others do not. For these patients, injecting insulin is the easiest and most effective way.

Not all oral medications are safe, such as Avandia, which has been restricted by the FDA because studies have shown it may increase the risk of heart attack and stroke.

7. Insulin causes weight gain?

Some people with type 2 diabetes may gain weight after starting insulin therapy. However, few people know that insulin itself does not cause weight gain. When insulin actually works, the body processes blood sugar more normally and results in weight gain. This is also one of the reasons why sudden and unexplained weight loss is a symptom of diabetes. As insulin therapy continues, your weight will be more stable and weight gain may be transient.

8. Do people with type 2 diabetes not produce insulin themselves?

This is not true. People with type 2 diabetes can produce higher than normal insulin levels in the early stages of the disease, which is called hyperinsulinemia. This is due to insulin resistance of type 2 diabetes and the body’s inability to respond normally to hormones. Injecting insulin helps patients overcome insulin resistance and can replace natural insulin production, which tends to decrease over time.

9. Does insulin mean your diabetes is serious?

Regardless of your treatment, it is important to recognize that diabetes is a serious disease because you may still feel well when you have it (or ignore symptoms such as being constantly thirsty and tired).

In fact, high blood sugar damages the body, damaging the heart, kidneys, eyes and nerves. The point is to make sure your blood sugar is under control by diet, exercise, pills, insulin or a combination of all.

10. Need multiple insulin injections in a day?

Not really, you have options. You can try long-acting insulin once daily (usually at night). This may be enough to control blood sugar or combine with oral medication. If blood sugar is still too high after a meal, you may need to take insulin several times a day, just before eating.

11. Insulin is the last option?

Some people have used all diabetes treatments before seeking insulin, which is not the best treatment strategy. By the time a person with type 2 begins on insulin therapy, they may have had diabetes-related complications due to poor blood sugar control. Because blood sugar is too high and can increase your risk of heart attack, stroke and other problems, you should not waste too much time on remedies that do not improve blood sugar control.

In fact, coming to insulin earlier can avoid complications, provide better and longer effects, or help you use the less complex insulin regimen for a long time.

12. Insulin must be used forever?

Not really necessary like that. Some people with type 2 diabetes may temporarily need insulin, for example right after being diagnosed or during pregnancy, while others may need to take insulin indefinitely.

Some people who lose weight (naturally or with the help of fat loss surgery) may find that they do not need insulin, while others may still need it.


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