The treatment plan for each diabetic patient should be different and should be based on age, weight, pancreatic function, blood sugar, liver and kidney function and response to drugs. Nowadays, the regular oral medications are retained after many years of clinical verification and elimination of many drugs, so long-term application will not harm the liver and kidneys. For type 2 diabetes, the most used drug is metformin, if you use this drug without bloating, diarrhea or any other discomfort, this drug can be used for a long time (thirty or forty years are no problem), if no previous use of hypoglycemic drugs, people over seventy years old are not recommended to use metformin. Sulfonylureas (such as glimepiride, gliclazide, glipizide, glipizide) are all more effective in lowering blood sugar, but they tend to fail after a few years of use and need to be increased in dose or replaced with other drugs. Other oral medications are safer and your doctor will choose according to your age, weight, blood sugar and financial situation. Once your blood sugar has stabilized, do not stop taking the medication (unless you have hypoglycemia and can reduce the medication). In most cases, medications are required for life. Oral medications do not include any diabetes-related health supplements or diabetic foods. Those diabetes supplements that are not approved and clinically proven (not available or not available in regular hospitals), drugs and devices that are advertised everywhere claiming to cure diabetes can really hurt the liver and kidneys, and any hypoglycemic drugs that claim to be purely natural with no side effects are deceptive. The need to use insulin must be decided by a specialist, not without permission, because there are many kinds of insulin treatment plans, from once a day to four times a day, and some people use insulin pumps for continuous treatment, so each person’s treatment plan is different and cannot be generalized. The same person in different stages of diabetes, the use of different treatment plans, there may be just one drug when you first get diabetes, a few years later you need to take 2-3 drugs, and then a few years later you need insulin treatment. Some people need several medications to control it at the beginning, and some people have to use insulin treatment at the beginning. So there is no one drug that is better for treating diabetes, only which drugs are appropriate for your current condition.