Im like you. I reached a point where I had finally maxed out on orals and they just weren't doing the job and finally landed in the hospital from a tiny simple staph infection that got way out of control simply because my diabetes wasn't in control. The Endo guy was really nice and didn't lecture me. He knew I knew. But he started me on Lantus when I got out of the hospital. That once a day shot was what I needed to suddenly have numbers that worked again. The lantus is 24 hour insulin that provides you a base all day long. Using really really tiny needles I overcame any fear of taking an injection and wow!! the benefits were immediate.
I do want to point out that one of the drawbacks to any kind of insulin is your ability to put on weight, particularly belly fat. IF YOU ARE AWARE of this, you can take steps to make sure it doesn't happen, but for many people this is an unfortunate side effect. The satisfaction, however, of suddenly seeing your numbers "work" is immediate and will make you say, "why didn't I do this sooner". The 2 hour numbers are important as you know since this shows how long your body is staying in a range where your sugars could do damage to the rest of your body. Above 150 for a prolonged period of time is NOT a good thing.
IF YOU have insurance and can get Byetta, its worth a try in that it will preserve the beta cell function. However, if it is not available, by all means start the Lantus. Remember what I was trying to ignore; Its not your lifestyle but your genetics that has caused you to fail with oral meds, so do something about it NOW and preserve the quality of your life!! Good luck and let us know where you end up.
What some call health, if purchased by perpetual anxiety about diet, isn't much better than tedious disease. - George Dennison Prentice
- It's not that some people have willpower and some don't. It's that some people are ready to change and others are not. - James Gordon, M.D.
I can only please one person per day, today is not your day...tomorrow doesn't look good either.