Avoiding insulin in patients with long-standing type 2 diabetes

Is it possible to avoid insulin therapy in patients with long-standing type 2 diabetes?

René Rodríguez-Gutiérrez, MD: People tend to think that as diabetes progresses, no beta-cell function remains and in the end they will need insulin, but the truth is that there are many patients who have had type 2 diabetes for over 20 years that are still on one or two medications.

I think the key point here is to have good lifestyle interventions early and later in the course of diabetes. Eating well is very important and so is, of course, exercise, but I think there is no reason to think that all patients with type 2 diabetes will end up using insulin.

See also

Thyroid nodules larger than 1 cm in diameter showing no signs of growth Can a thyroid nodule >1 cm in diameter be considered benign if it does not show signs of growth on repeated ultrasonography?
Insulin regimens in type 2 diabetes In a patient with type 2 diabetes, should insulin be always started from once daily administration or can a 2- or 4-injection regimen be used up front?
Indications for FNAB in patients with small thyroid nodules Are there any indications for fine-needle aspiration biopsy in a patient with a thyroid nodule <1 cm in diameter?
Subclinical hypothyroidism: treating the number or the individual? A lecture by Dr René Rodríguez-Gutiérrez, from Mayo Clinic, USA, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.
Treatment of type 2 diabetes and shared decision-making A lecture by Dr Victor M. Montori, from Mayo Clinic, USA, delivered at McMaster International Review Course in Internal Medicine in Kraków in May 2017.

Avoiding insulin in patients with long-standing type 2 diabetes

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