What are the alternative ways to treat diabetes?

Question

Hi doctor,

I have been living with type 2 diabetes for the past 10 years, and I am currently managing it with oral medications. I am 60 years old, with a BMI of 27, and I have done my best to keep my blood sugar under control. However, lately, I have noticed that my levels are fluctuating more, and I’m afraid that I might need to start insulin soon. I am concerned about how that will impact my lifestyle, and whether I will still be able to manage the disease the way I have been. Are there ways I can avoid moving to insulin, or is it inevitable at this point? Also, I have heard about new treatment options—are there any alternatives I should explore with my doctor before considering insulin?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

It is understandable to feel concerned about the potential need for insulin after managing type 2 diabetes for a decade with oral medications. Fluctuating blood sugar levels can signal that your body is producing less insulin or that your current medications are no longer as effective. While transitioning to insulin might seem daunting, it does not necessarily mean a loss of control over your diabetes. Insulin is an effective way to maintain stable blood sugar and prevent complications, and many people adjust to it well. That said, insulin is not always inevitable. There are several options to explore before making that transition. Newer medications, such as GLP-1 receptor agonists (e.g., Liraglutide, Semaglutide) and SGLT2 inhibitors (e.g., Empagliflozin, Dapagliflozin), have been shown to improve blood sugar control, promote weight loss, and reduce the risk of heart and kidney disease. These medications could potentially delay or reduce the need for insulin. Revisiting your diet and exercise routine might also help. Sometimes even small adjustments can have a significant impact. Regular blood sugar monitoring and discussions with your doctor about treatment options can help you determine the best approach to keep managing your diabetes successfully.

I hope this information will help you.

Thanks.