Christalyn - My intend was not to scare you but make you aware. In general nothing good comes of the antiglycemics. Thats why the ADA currently has a “Step” program. The assumption is over time many will progress and use insulin. You are already using a basal but in general the T2 should be put on a prandial but not according to the Step program.
The issue with diabetes is your body is not producing enough insulin for its needs. The first thing you lost was the robust release at meal time. The best way to treat this is with a meal time prandial but the fear has always been hypos and needles. Hypos are a real concern.
There is now a new prandial when used with no antiglycemics and no basal, its really hard getting a hypo. In many cases the PWD can be taken off the basal over time. It really depends on how much beta cell functionality you have left.
This new prandial is inhaled human insulin called afrezza. Its not an analog. Its the same insulin your body would naturally make. Most doctors are not prescribing it but many are not even aware it and its advantages. Its currently only available in the U.S. and insurance coverage at this point is spotty and its not cheap. Its also not for use by thsoe with COPD.
If you can’t get the afrezza, you should think about an RAA. Potential long term effectsTo quote Dr. Ralph Defronzo who 30 years about was one of the biggest proponents of metformin but through experience has now found -
“The most waste in type 2 diabetes is to continuously put people on metformin and sulfonylureas (glyburide, glimepiride, etc.). These drugs have no protective effect on the beta cell, and by the time you figure out what you’re doing, there are no beta cells left to save.” – Dr. Ralph DeFronzo (University of Texas Health Science Center)