‘How do doctors decide when a type 2 diabetic patient should stop oral medications and start insulin injections?’ This question on Quora made us reach out to Dr Pranav Ghody, consultant endocrinologist and diabetologist, Wockhardt Hospitals, Mumbai Central, who told us that switching to insulin is not a failure, it’s a medical choice based on how your body is handling diabetes. “We look at three things: blood sugar trends, symptoms, and how well the pancreas is working,” said Dr Ghody.

If a patient’s blood sugar stays high despite maximising oral medicines, adjusting doses, and improving lifestyle habits, it suggests that the pancreatic beta cells are not producing enough insulin. At that point, injections become a safer and more effective option, said Dr Ghody.

Adding that there are c

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