A report today from Hong Kong finds that “insulin-treated type 2 diabetics with high C peptide are at a significantly higher risk of cardiovascular events (hazard ratio [HR] 2.85, p = 0.049) and death (HR 3.43, p = 0.043)”.
Thus insulin should be added only in uncontrolled type 2 diabetics with low C peptide.
Those with normal to high C peptide levels apparently have good insulin output, thus insulin resistance.
The corollary is that, rather than insulin and insulin secretagogues/ mimetics, these patients simply need better diet and oral insulin sensitizers.
Yet we continue to see patients gaining weight and getting sicker on insulin (and sulphonylureas and glitazones) , instead of them being guided to better diet ( fat-free cooking, sugar-free, low in fruit juice, salt, cornstarch) and natural supplementary insulin sensitizers to tolerance (ie galega/metformin, the dozen minerals and vitamins, at least 10 human biologicals, fish oil and a choice of a thousand herbs.