We know that type 2 diabetes is a progressive disease and therefore may need more medication. Several factors can however play a role - such as being overweight and not exercising. It may be, that if a patient with diabetes looses weight and start with an exercise programme, that they may not need insulin. The control of the diabetes will determine if a type 2 diabetic patient will need insulin. Insulin should be viewed as a way of management of type 2 diabetes and not as a last resort - in some studies it was used very early in the management of type 2 diabetes with good results.
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