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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.