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Insulin Myth: Type 2 and the sliding scale of Insulin.

glucotoxicity
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Can you come off of insulin?

This is a myth which arises from an incorrect understanding of Type 2 diabetes. It is true that in Type 2 diabetes, a person requires insulin from an external source, but it is incorrect to think that in such a case the body no longer produces insulin. This never occurs in clinical practice. On the contrary, in Type 2 diabetes, the capability of the body to produce insulin may be reduced because of hyperglycemia (i.e. excess of glucose in the blood) and not because of external insulin. External insulin helps in reducing hyperglycemia and controls glucotoxicity.

What are the side effects of insulin?

Modern technology makes needles shorter (6 mm), slimmer and smoother (with silicon coating) which makes them virtually painless and very easy to inject yourself. It is so easy that even children as young as seven years inject themselves.

Additionally, unlike syringes, there are no chances of error, so you need not worry about hypoglycemia due to the wrong dose.

Insulin for type 2 diabetes will cause weight gain.

Another myth arising from an incorrect understanding of Type 2 diabetes is “will I get an insulin reaction?”

With greater understanding of diabetes and insulin, the risk of hypoglycemia can be completely or hugely reduced. In a study of over 13000 patients on insulin, the risk of hypoglycemia was found only marginally higher than the tablets.

Nevertheless, it is important to recognize the signs and treatment for hypoglycemia.

Do only people with type 1 diabetes need insulin?

Signs and Symptoms of Hypoglycemia being dizziness, anxiety, sweating, hunger, blurred vision, rapid heartbeat, strange and sudden moodiness. If you experience such a situation, immediately take (3 teaspoons) sugar or your blood sugar may drop further.

E223 – Type 2 Diabetes and the sliding scale of Insulin

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