Originally Posted by mrsD

That is alot of oral meds for typeII

When a person gets to that level of oral meds, and has trouble with spiking sugars... that means the pancreas is not working.
The oral meds can only do "so" much.

I bet she had alot of huge CARB meals! Also in the tropics they drink alot of juices...which have alot of sugar. Diabetics need some good fats and protein with meals. The fats keep the food in the stomach longer, and prevent the spikes.

She will probably have to go on Humalog soon.

Some younger typeIIs often have some type I mixed in there.
I've met 2 nurses who were diagnosed with type II and really were type I and ended up on only insulin and dropped all oral meds. (one was in her 30's and not overweight at all). Autoimmune disease eats away at the pancreas in some people.