In some cases, human being with type 2 diabetes require insulin injections to regulate their blood sugar levels. For others, kind 2 diabetes can be controlled without insulin. Relying on your health and wellness history, her doctor might recommend the you manage type 2 diabetes through a mix of way of life changes, oral medications, or other treatments.

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Here are six things you have to know around managing kind 2 diabetes there is no insulin.


Some civilization with type 2 diabetes can regulate their blood sugar v lifestyle changes alone. But even if friend do require medication, healthy and balanced lifestyle options are important.

To help manage her blood sugar levels, try to:

eat a well-balanced dietget at least 30 minutes of aerobic exercise per day, five days every weekcomplete at least two sessions that muscle-strengthening activities per weekget enough sleep

Depending ~ above your existing weight and height, your doctor can encourage you to shed weight. Your physician or dietitian can assist you construct a safe and also effective weight loss plan.

To lower your danger of complications from type 2 diabetes, it’s also important to stop tobacco. If friend smoke, your doctor have the right to recommend sources to help you quit.


In enhancement to lifestyle changes, your doctor can prescribe oral drugs for kind 2 diabetes. Castle can aid lower your blood sugar levels.

Many different classes of oral medication are obtainable to treat type 2 diabetes, including:

alpha-glucosidase inhibitorsbiguanidesbile acid sequestrantsdopamine-2 agonistsDPP-4 inhibitorsmeglitinidesSGLT2 inhibitorssulfonylureasTZDs

In part cases, you can need a mix of dental medications. This is known as oral mix therapy. You could need to try several varieties of medicine to discover a regimen that functions for you.


Insulin isn’t the only type of injectable medication provided to treat form 2 diabetes. In part cases, her doctor can prescribe other injectable medications.

For example, medicines such together GLP-1 receptor agonists and amylin analogues have to be injected. These types of medicines both work to store your blood glucose levels in ~ a regular range, particularly after meals.

Depending top top the certain medication, you could need come inject it everyday or weekly. If your doctor prescribes an injectable medication, ask lock when and also how to take it it. They can help you learn just how to safely inject the medication and dispose of offered needles.


If your body mass table of contents — a measure of weight and also height — meets the criteria because that obesity, your doctor could recommend weight loss surgical procedure to aid treat form 2 diabetes. This procedure is likewise known as metabolic or bariatric surgery. It can assist improve your blood sugar levels and also lower your hazard of diabetic complications.

In a share statement issued in 2016, many diabetes institutions recommended weight loss surgery to treat form 2 diabetes in people with a BMI the 40 or higher. They likewise recommended weight loss surgical procedure for world who have a BMI of 35 come 39 and a history of unsuccessfully do the efforts to control their blood sugar with lifestyle and also medications.

Your doctor can aid you find out if load loss surgical procedure is an alternative for you.


Different types of medication, surgery, and other therapies can reason side effects. The form and hazard of side impacts varies, indigenous one therapy to another.

Before you start taking a new medication, speak to your doctor about the potential benefits and risks of making use of it. Ask them if it can communicate with any type of other medicines or supplements that you take. You should likewise let your doctor recognize if you pregnant or breastfeeding, since some medicines aren’t safe for pregnant or breastfeeding civilization to use.

Surgery can also put friend at hazard of side effects, together as epidemic at an incision site. Prior to you undergo any operation, ask her doctor about the potential benefits and also risks. Speak to them about the restore process, consisting of steps you can take to mitigate your threat of postsurgery complications.

If you doubt that you’ve occurred side effects from treatment, contact your doctor. Castle can assist pinpoint the reason of her symptoms. In some cases, lock might readjust your treatment arrangement to aid relieve or stop side effects.


Over time, your condition and also treatment needs have the right to change. If you’ve uncovered it complicated to control your blood street with way of life changes and also other medications, her doctor can prescribe insulin. Adhering to their recommended treatment arrangement can assist you control your condition and lower your hazard of complications.

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Many treatments are available for type 2 diabetes. If you have questions or concerns about your current treatment plan, speak through your doctor. They can aid you recognize your choices and construct a plan that functions for you.


last medically the review on February 15, 2019


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Medically reviewed by Marina Basina, M.D. — written by heath Grey — update on January 21, 2020

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