I am 45 & type 2 diabetic since last 10 years. My HbA1C is in the range of 7.3~7.5 since last two years. I am on Zomelis met 50/1000 twice daily Gluzade MR 60 twice daily Udapa 10 mg once. My doctor now want me to switch to Insulin 10 unit after dinner & reduce Glizade MR 60 once daily. Is this really necessary to switch to Insulin with track record of apprx 7.5 as hba1c of last two years or I can still continue with ongoing drug course.

Ans: You are on maximum doses of 4 antidiabetic drugs and with that your HbA1c is in the range which is higher than acceptable range of 7%.
Then, considering you are 45 year only and have a long life expectancy ahead, a better and stricter control is needed. This essentially mean we should aim for reducing oral medications and starting on basal insulin is a good idea.

There are many myths in the mind of people about insulin.
You need antidiabetic medications and it should be focused on reducing blood sugar levels. I agree that starting on insulin is a good idea and we can reduce some oral medications.

best
Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice
Safdarjung Enclave, New Delhi