Sometimes it's unclear whether insulin or oral medications are more effective in controlling blood glucose; therefore, a doctor will consider a person's weight, age, and the severity of the diabetes before prescribing a medicine. Experts do know that weight control is essential for insulin to be effective. A doctor is likely to prescribe insulin if diet, exercise, or oral medications don't work, or if someone has a bad reaction to oral medicines. A person also may have to take insulin if his or her blood glucose fluctuates a great deal and is difficult to control. A doctor will instruct a person with diabetes on how to purchase, mix, and inject insulin. Various types of insulin are available that differ in purity, concentration, and how quickly they work. They also are made differently. In the past, all commercially available insulin came from the pancreas glands of cows and pigs. Today, human insulin is available in two forms: one uses genetic engineering and the other involves chemically changing pork insulin into human insulin. The best sources of information on insulin are the company that makes it and a doctor.
You've heard breakfast is the most important meal of the day, and that's especially true when you have type 2 diabetes. A healthy breakfast can help you control your weight and keep blood sugar stable, says Melissa Joy Dobbins, RD. She's a Chicago-based certified diabetes educator.
What should your focus be for the first meal of the day? When you have diabetes, it's key to keep total carbs consistent day to day, get more fiber, choose fewer processed foods, and make heart-healthy choices, Dobbins...
"The National Institute of Diabetes and Digestive
and Kidney Diseases of The National Institutes of Health. Noninsulin-Dependent
Diabetes. NIH Publication No. 92-241. September 1992. Last updated February 10,