Type 1 diabetics no longer produce insulin, so insulin is the necessary med. Digestion destroys it, so insulin is delivered by injection or a port inserted under the skin.
Type 2 cripples the ability to produce insulin so the pancreas can't control blood glucose levels on its own. Some diabetics manage with only diet and exercisebut the condition is progressive most eventually need meds.
Over 50 medications do various things. They promote insulin production, reduce insulin resistance, induce muscle to absorb glucose and others. A health care professional is needed to find the best option.
Medication's effectiveness depends on food intake and physical activity. Even with medications If you eat lots of carbs and veg out, you'll have a higher BGL than if you ate smarter and went for a walk. It's easy to blame doctors for not prescribing the right medication, but an erratic lifestyle gives them a moving target they can't hit.
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