A type 2 diabetic patient requires insulin if
1. the blood sugars are persistently high (F>140, PP>200,
Hba1c>9) despite maximal dosages of oral medications
2. Patient is actively losing weight with symptoms like excessive urination
3. Oral medications are unsafe due to
kidney or
liver disorders
Next Steps
Kindly mention oral medications which you are taking, the recent
Hba1c, follow strict dietary precautions and exercise regimen if no contraindication