My Type two grandmother used insulin until she was 89, and then she just died of old age… Insulin should work just fine. It just takes some work to get the dosages right.
I am NOT claiming to be a Type 2 expert though. I’m pretty limited in the type 2 area 
you NEED an Endo!!! Remember A1C test takes the mid range of where you have been for the last 3 mo, so it can either tell you your #'s are good and stable, or all over the highs and lows!!! Keep a detailed log of BG #'s food intake and exersise no matter what meds you are on!!!
You are probably insulin deficient which makes the solution obvious but must be handled with care.
I agree that insulin may be a good option for you. Maybe find a new doc or endo who thinks so too!
your doctor is probably is refraining to put you on insulin unless no choice due to the “hypo” fear… some basal insulin should help in lowering your morning bg
still puzzles me why your doc is only limiting you to Sitagliptin type drugs. but since you mentioned he’s trying to give your pancreas a break… that might be his reason… other oral drugs might or might not work for you… insulin will help for sure
Do you have health insurance to pay for the doctor and medications? If not you need to contact your state agenecies that deal with cases like yours.
You are dealing with a very dangerous situation when you suffer uncontrolled diabetes. Uncontrolled diabetes can cost you your eyesight. Uncontrolled diabetes is also a leading cause of foot problems and infections which result in amputation of toes, feet and legs. Just to mention the most common problems.
The almost unanimous advice from this group is for you to find another doctor, preferably an endocrinologist who will put you on EFFECTIVE MEDICATIONS including insulin.
From your descriptions of your situation, we on this forum, have concluded that you are not getting the most effective therapy. Your continuing to describe your doctor’s current procedure is not confronting your problem. You need to be more of an advocate for yourself because nobody else is going to do that for you. You must take action to help yourself.
What we want to hear is that you have searched for and found a competent endocrinologist to treat your diabetes. Anything else is wasting your time (and ours) while your body is being ravaged by the high blood glucose levels in your blood stream.
I know my comments are sharp and unsympathetic, but frankly you need that push to get you going in the correct direction. This is very tough love!!!
You know how to use a computer. Use your computer to search for diabetes specialists in your area. Make some appointments. Ask your other doctors, “If you had diabetes who would you go to for help?” THEN GO SEE HIM OR HER!!!
AaronM
AMEN!
It sounds the Glyset has worked. Glyset is in the same class of drugs as Precose (acarbose) and blocks the absorption of carbs. It typically has modest effects on your HbA1c, 0.7-1%. The fact that you have achieved a HbA1c of 5.0% is actually quite good news. I know that you were just freaked at the meter readings you were observing, but in the scope of things, that is not too bad. Most patients, taking glyset alone would never experience hypos. If you are having hypos, that is an important thing to document for your doctor. While you might think your pancreas is almost totally pooped out, your control at this time indicates that you still have a few miles left in you. Your profile listed you as having a HbA1c of 5.7% before. So at least for now, on average you have very admirable control of your blood sugar.
But. And that is huge BUT. All these messages from everyone are telling you, you have exceeded your GPs level of expertise. Most GPs can write you a prescription for metformin and tell you to exercise, lose weight and follow the ADA, but that is their limit. They are absolutely “freaked” at the idea of prescribing insulin, for many, the only reason to prescribe insulin is when the patient is in DKA in the ER. You should follow the advice repeatedly given here and see an endo.
Thank you!