You can take acarbose and still take insulin. This is because acarbose and insulin are two hypoglycemic drugs with different mechanisms of action. Acarbose is mainly administered orally, and it inhibits the breakdown and absorption of carbohydrates in the intestines, thus lowering blood glucose levels after eating. Insulin is usually given by subcutaneous injection, which promotes the absorption and utilization of glucose by the body’s tissues, thereby lowering blood glucose levels. If one method of administration fails to lower a diabetic’s blood glucose to the desired level, two hypoglycemic agents with different mechanisms of action may be used in combination in order to achieve the desired therapeutic effect. If blood sugar control is not good after taking acarbose, it is possible to take insulin for further treatment. The drug must be applied under the guidance of clinicians to avoid causing hypoglycemia and other adverse reactions. If any discomfort occurs, please seek medical advice promptly.