Can diabetes be managed without insulin?

Patient's question:

I have had diabetes for 10 years and have been using insulin injections. It's been quite troublesome. Now, I pay close attention to my diet and exercise, and my blood sugar control is generally very good. I want to ask if diabetes can be managed without insulin? Can other methods of control be used?

Doctor's answer:

Type 1 diabetes patients must take insulin. Type 2 diabetes patients who have complications, severe infections, or before/after surgery must also take insulin. If you don't have any of the above conditions, you can take oral hypoglycemic drugs. There are several types of hypoglycemic drugs available, such as sulfonylurea hypoglycemic drugs like Gliclazide extended-release tablets, biguanide hypoglycemic drugs like Metformin, and alpha-glucosidase inhibitors like Acarbose. These are the most commonly used types of drugs, and you need to use them under the guidance of a doctor.

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