Starting Insulin Early For Type 2 Diabetes

2020 American Diabetes Association (ADA) guidelines recommend that after a trial of metformin, doctors add additional drugs based on the presence of cardiovascular and kidney-related comorbidities, risk of weight gain and hypoglycemia, and cost. In this video, Irl B. Hirsch, MD, of the University of Washington in Seattle, explains the rationale for starting insulin next for patients with persistent HbA1c elevation above 9-9.5% despite lifestyle changes and metformin.

[susane]

Insulin is very expensive. Price has not gone down at all over the years. Insurance helps but out of pocket costs still very high.
Physicians can easily afford insulin. Ordinary ppl, not so much.

[fatgaydisabledleftist]

I've gone through several different oral medications and my kidney function continues to worsen. My recent A1C test result was over 10%. I'm now fighting to be prescribed insulin.

[kellybaseman]

Can u take insulin when taking glucofort

[leanneharrison]

Well I've taken it all now my liver is swollen hurts having to go to GI today to find out what's going on...im going to suggest the pill or inhaler because I am now on insulin, I have been on that nasty victoza I refuse to take it now

[leanneharrison]

Thank god I have insurance...600$ for my insulin but I think I got four to five pen in one box, I hate being diabetic

[rosaliecastillo]

My blood sugar was at 300+ tonight n I took 12 units hemolog n 15 units levamir but I had just finished eating a corn on the cob. An hour later I woke up feeling off n took another reading and my blood sugar was over 200 can I take more insulin to get it down or do I wait til the morning?

[vincentwiese]

Rosalie Castillo Hello Where are you located at don't eat starch like corn on the cob sounds like a overdose