Newly diagnosed diabetic patients require insulin therapy because of their condition, but whenever doctors discuss insulin therapy with them, they have varying degrees of apprehension, resistance or even refusal to insulin therapy. It is certainly not true that all patients with diabetes need insulin therapy to begin with.
Do not wait and start insulin therapy immediately when you have the following conditions: admission to the hospital for a serious illness; ketosis or ketoacidosis, hyperosmolar state; severe hyperglycemia. Other conditions are: those who are not suitable for oral hypoglycemic therapy due to the presence of liver or kidney disease; those who are ineffective in taking oral hypoglycemic drugs. Among them, like those who are admitted to hospital with serious diseases, severe hyperglycemia and hyperosmolar coma, insulin is used to control blood glucose proximally, to facilitate the treatment of primary disease or to relieve glucose toxicity due to hyperglycemia as soon as possible, to restore the function of insulin secretion by pancreatic beta cells, and to improve insulin sensitivity of skeletal muscle and adipocytes. This condition is only temporary insulin dependence, and in the majority of cases, insulin is only needed for a short period of time, and after the stress is over, diet is controlled and weight is lost, insulin treatment can be completely discontinued, and good control of blood glucose can be achieved with only diet or a small amount of hypoglycemic drugs.
However, for patients with light weight before onset, no family history of diabetes, young age and significant weight loss after onset, these patients are mostly due to the destruction of pancreatic β-cells, reduced number and inability to restore insulin secretion capacity, generally without insulin resistance and showing lifelong insulin dependence. Oral hypoglycemic drugs do not work for them, and not only do they need insulin to achieve blood glucose control, but they must use insulin to stay alive. Whether a person is insulin dependent or not has nothing to do with insulin use. In fact subcutaneous insulin injections also protect the function of pancreatic beta cells. Therefore, when your doctor is communicating with you about insulin therapy, state that you need insulin therapy at least for your current condition and do not refuse.