I have Type 2 Diabetes since 6-7 years and was initiated on insulin therapy six months ago. Is it possible to stop insulin and just manage my condition with diet and exercise or will I be taking insulin life-long?
Generally, patients with Type 1 Diabetes will require insulin for survival but that is not the case in your scenario since you are suffering from Type 2 Diabetes. The common indications to start insulin in patients with Type 2 Diabetes are
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Failure to achieve the desired glycaemic control with diet, exercise and medications
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To achieve a rapid glucose control of severe hyperglycaemia (raised blood sugar) due to a stressful event in your life (e.g. dental procedure or hospitalization for chest infection). In such cases insulin is stopped once the acute stress is relieved
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When the Hba1c (average sugar for last three months), at the time of diagnosis is > 9 per cent or if the patient has severe symptoms like marked weight loss or excessive thirst/urination/hunger
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When oral medications cannot be given due to an associated medical illness (kidney failure or liver failure). However, as the condition improves your doctor may discontinue insulin.
Once you acquire good glycaemic control i.e. Hba1c =6.5 per cent, your doctor may advice oral medications along with proper diet and exercise. Keep in mind that insulin can help you achieve your blood glucose target, which will make you feel better and have more energy. With the advances in the insulin administration devices with thinner needles, injecting insulin has become more comfortable and less painful.
– Dr Ashutosh Pakale Consulting Diabetologist
