Insulin isn’t punishment like yourdoctor would like you to believe. Yes, I've said it. There seems tobe more than a few doctors that use insulin as a threat to chastiseand intimidate people with type 2 diabetes. This is a tool they useto try to get patients on oral medication to adhere to their regimenand not need to go on insulin.
This is the reason I like our groupwhere now 10 of 14 members are on insulin. All of us have type 2diabetes and we don't feel like we have failed. We just like thelack of side effects and the ease of diabetes management. When Ibrought this article to the attention of the group, only one memberexpressed that his doctor had tried this on him and that was the lasttime he had seen that doctor. Most of the members have chosen to beon insulin after talking with the rest of us, seeing our A1c's, andhow we feel on a daily basis.
This article is an interesting one onInsulin Nation. The type 2 person was picked out of a group ofpeople that had taken the A1c test at a Taking Control of YourDiabetes (TCOYD) Conference in San Diego. Her A1c was 11.6%. Thiswas her ticket to a 20-week “Extreme Diabetes Makeover” programled by TCOYD's founder Dr. Steve Edelman. Other members of the teamincluded an exercise physiologist, a CDE, a nutritionist, and Dr.William Polonsky.
“We put heron Byetta right after the conference,” Edelman says,“Because she was fighting weight problemsand her glucose levels after eating were in the upper 200s, Iincreased her metformin dose to 1,500 mg at bedtime. Sometimes justshifting the dose to nighttime helps the morning blood sugar.” Stanton's glipizide dose was increased to the maximum, buteven the new medications and dose increases were not helping herdaily morning readings. This is when they added a long acting insulinat bedtime.
“Stantonwasn’t afraid of the shots — both Byetta and insulin requireddaily injections — but she viewed her need for insulin as apersonal failure. For years, her previous doctors had portrayed“going on insulin” as a last resort — the punishment for beinga “bad diabetic.”” Where have I heard this before? Yes, this is what I said above was a tool the doctors like to use.
Dr. Polonsky, founder of the BehavioralDiabetes Institute, knew he had to change that feeling and explainedthat if you have diabetes long enough, you may well need insulin atsome point. He also explained that insulin is not only for type 1diabetes. With type 2 diabetes, the pancreas will eventually quitworking when it can't produce enough insulin to help manage elevatedblood glucose levels.
Increased exercise and modified dietare not the answer when a person with type 2 diabetes hasconsistently elevated blood glucose levels. Insulin is themedication that works to bring elevated blood glucose levels down andthis is what makes exercise and diet changes work. This shouldindicate that people with type 2 diabetes need to consider insulinsooner rather than as a medication of last resort.
If you have a doctor that uses insulinas a threat, you have your health to think about and it might be wiseto ask the doctor for insulin. If he goes back to using it as athreat or says you are admitting failure, then it is the time to findanother doctor. Your diabetes health is not something you shouldthink of as a failure and the sooner you consider insulin, the easierit will be to remain healthy.
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