Hi there Waldo
I’m maybe getting the wrong person, if I am please correct me. ISTR you came to one of our meets one summer and if it is you, then I recall you had just come out of the army, were relatively young and had a very very fit, slim and muscular physique. Very untypical of a person who would get early T2. At the time we all expressed some surprise that you’d been diagnosed T2. Paul is talking about fatty liver, has anyone told you that you have one? If they have missed out the steps of putting you onto one of the injectable T2 meds such as Victoza then it suggests you do not have any weight to lose. It may be that tests would prove that your Pancreas isn’t producing enough insulin and is giving up. It may be only your own fitness that has carried you this far.
If I were you I’d have a lot of questions to ask the doctor and I don’t think the GP’s nurse is necessarily qualified to answer them. I would certainly be asking to be referred to Exeter on the grounds that you are very atypical for a T2 and that you would like a C-Peptide test to see how much insulin you are producing. There is the off chance that you are not T2 but slow onset T1 and getting the right treatment depends on getting the right diagnosis as I well know. I had to insist on tests and once properly diagnosed my treatment was much much better in many ways.
To get back to your question, it sounds like they’re putting you on a basal insulin, possibly Lantus, but more likely Insulatard or one of the cheaper ones they prescribe for T2s. Then they expect the tablets to push your pancreas to produce enough insulin to cover meals. You really do need to ask questions about this regime. You need to know what insulin, what tablets and what do all these meds actually do I.e. how they work.
Meantime it will be a good thing to answer Alan’s question about diet so we have the full picture.