Insulin 1st-Line for Type 2 Diabetes?

Type 2 diabetes is on the rise. It’s one of the diseases afflicting humans that is often preventable. Preventable because lifestyle plays a large role in the development of type 2 diabetes.

Type 1 Diabetes

Type 1 diabetes is different from type 2 – it’s caused by the pancreas’ inability to produce insulin. On the other hand, in type 2 diabetes, the pancreas does produce insulin but either not enough or the body can’t properly use the insulin that’s being produced.

It used to be that type 1 diabetes was called juvenile diabetes and then the name changed to insulin-dependent diabetes. Originally, it was thought that only children developed type 1 diabetes but now we know that people as old as their late 20s can develop it. Then, it was insulin-dependent because insulin is the only treatment for type 1 diabetes. This was changed eventually too, because insulin is sometimes used to treat type 2 diabetes.

Type 2 Diabetes

Type 2 diabetes used to be called adult-onset diabetes and then that name changed to non-insulin dependent. While it was true that mostly adults developed type 2 diabetes, people who were being diagnosed were getting younger and younger. In fact, now teens are developing type 2 diabetes. Non-insulin dependent was also a misnomer. Although people with type 2 diabetes usually start off by taking oral hypoglycemics, or pills to lower blood glucose levels, many end up taking insulin at some point because the medications stop being effective.

Insulin

Insulin is a life saver for people with diabetes. Without it, type 1 diabetics would die. It’s also considered the last resort for people with type 2 diabetes. Many people with type 2 fight being put on insulin because they feel that it means that they’re “really” diabetic, that they’ve failed, or that they’re getting worse.

Now, researchers are saying that insulin may not be a good idea for last resort for type 2 diabetes but, rather, as a first line treatment. Researchers wanted to know if using insulin early in type 2 diabetes could improve blood glucose levels, so they studied patients with type 2 diabetes who had not yet begun treatment for up to three years. The results of the study were published in the most recent onlin issue of Diabetes Care.

The researchers found that although the results (lower blood glucose) were similar between the two groups, more patients (83%) in the insulin group stayed with the treatment than the ones who took only pills (72%).

If the results are similar in terms of blood sugar control, but compliance is better with insulin, researchers suggest that insulin may be the best way to begin managing type 2 diabetes, rather than waiting to use it.

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