Patient: I am just 23 years old and still studying to be fat, but because of this disease now I have lost more than 20 pounds, and now I weigh about 160. Why is it so different? I didn’t eat anything sweet. I’d like to ask which is better: taking medication or insulin? Do I have to be hospitalized to take insulin? Does it mean that I will be dependent on it? Which one has more side effects, insulin or medicine? Wang Jianbin, Department of Internal Medicine, Eye Hospital, Chinese Academy of Traditional Chinese Medicine: First of all, we should check the insulin and C-peptide level in the hospital to determine whether it is type 1 or type 2 diabetes, generally type 1 is mostly seen in adolescents, insulin secretion is absolutely insufficient and insulin is needed, type 2 is mostly seen in adults, obese people are common, insulin resistance is the main cause, oral hypoglycemic drugs can be taken, and insulin can also be preferred for wasting type 2 diabetes. Nowadays, it is convenient to take insulin, and patients can learn to inject it by themselves, but they should strictly monitor their blood sugar at the beginning. Most of the early stages of diabetes are asymptomatic. If not treated or if the treatment is not up to standard, complications of heart, brain, kidney, eye and peripheral nerve are prone to occur. The purpose of controlling blood sugar is to prevent these complications by diet control, moderate exercise, medication and blood sugar monitoring. Medications all have side effects, but if used properly, it can provide so many benefits that the side effects can be ignored. It only depends on which treatment is more suitable for you, you cannot compare from side effects alone. The goal of blood sugar control is about 6mmol/L fasting and 86mmol/L after meals. You should eat regularly and quantitatively, and prevent hypoglycemia if you cannot eat on time when you go out. Patient: Do I need to be hospitalized if I inject insulin? Wang Jianbin, Department of Internal Medicine, Eye Hospital, Chinese Academy of Traditional Chinese Medicine: The dose should be adjusted gradually for the first time, and hospitalization is safer. Patient: How long should I stay in hospital? How many injections a day do I need for my condition? Wang Jianbin, Department of Internal Medicine, Eye Hospital of the Chinese Academy of Traditional Chinese Medicine: It depends on the situation. The first thing to do is to determine whether it is type 1 or type 2 diabetes, and the latter can start with oral hypoglycemic drugs. Patient: I haven’t used any medicine for a while, but I’ve been controlling my diet and strengthening my exercise, and now my blood sugar has dropped from 12 points to 7 points. Does this mean that I am still secreting insulin? Wang Jianbin, Department of Internal Medicine, Eye Hospital, Chinese Academy of Traditional Chinese Medicine: Fasting 3.9-6.1, 2 hours after meal less than 7.8 is normal. Control of diet and exercise itself can lower blood glucose, which is one of the measures of treatment. There is also a part of diabetes that blood glucose can be lowered to normal or near normal for a period of time, which is mistakenly considered as cured, leading to inactive treatment of patients. The goal of blood glucose control is about 6mmol/L fasting and 8mmol/L postprandial (incorrectly recorded as 86 in the first answer, now corrected). You are not checking your post-prandial glucose and insulin level, just speculation, the doctor can only give you advice, the choice is yours.