Don't be afraid of taking Insulin. It is obviously the best treatment for the basic problem in diabetes which is insulin deficiency. Metformin is also woth taking as a supplement to insulin since it will decrease the amount of insulin you will need, and in that way help control your appitite. Insulin causes hunger. Some mild type 2 diabetics might be adequately treated with metformin alone but I doubt it. Drugs that stimulate the pancreas to produce more insulin are probably not a good idea since eventual beta cell burnout is a problem in type 2 diabetes, essentially changing a type 2 to a type 1 for all practical purposes. Forcing the pancreas to make more insulin than it was designed to make is the probable reason beta cell burnout occurs. I don't know much about other drugs for diabetes but there is always hope for new approaches to tackling this problem. Small meals and limiting carbohydrates to 30 grams of net carbs per meal makes BS controll much easier. Counting carbs and calculating per-meal insulin dosages is a lot like firing a weapon with a very unsteady aim. The smaller the meal and the lower the grams of carb per meal, the steadier your aim will be so that if you miss your target you will be much more likely to still be close to a postprandial BS of 83 instead of being very high, or later very low, unpredictably.
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