First line treatment for individuals that are newly diagnosed with Type
2 Diabetes would be to improve their lifestyle by choosing healthier options for their diet, increasing physical activity, and losing weight.
Insulin may be required if your blood sugar is very high and your diabetes
remains uncontrolled. Insulin is administered through injections (shot)
or can be added into your intravenous fluids during hospitalization.
Long-acting insulin (basal insulin) works to control blood sugar between
meals and when you sleep. This medication is usually taken once or twice
a day (often with your evening meal or at bedtime) which helps control
your blood sugar around the clock. If you are taking oral medication but
your provider wants to switch to insulin then more than likely this is
the first type of insulin you will be prescribed.
Rapid or fast-acting (bolus) insulin is taken near mealtime. This insulin
works quickly to control the sudden and rapid spike in blood sugar after
you eat your meal.
If you think you have hypoglycemia, check your blood glucose. If your blood
sugar reading is 70 mg/dl or below, have at least 15 grams of carbohydrates.
Examples include the following: half a cup (4 ounces) of juice or regular
soda, 3-5 hard candies, glucose tablets or glucose gel (read the instructions).
After 15 minutes, recheck your blood glucose.