Weighing the Pros and Cons of Type 2 Diabetes and Insulin Use
As type 2 diabetes progresses over time, average glucose levels tend to rise and doctors often advise the use of insulin. Still, some people refuse the drug, fearing pain, weight gain, low blood glucose (hypoglycemia), or the additional cost. How might saying “no” to insulin affect a person’s A1C (a measure of average blood glucose over six to eight weeks)? In a study of 5,307 people with A1C levels above 7 percent, 43 percent initially refused to go on insulin. One year later, 18.3 percent of them had A1Cs below 7 percent, versus 27.3 percent of those who said “yes” to insulin, a significant difference. If you have type 2 diabetes, weigh the pros and cons of insulin with your health care provider and discuss any worries or fears so together you can settle on the right therapy for you.
Source: Diabetic Medicine, published online Feb. 20, 2020