this is a reminder Melody... when you explain stuff to people:
The pancreas eventually burns out. The oral drugs only work by stimulating more insulin from the pancreas. The Metformin does something extra by reducing gluconeogenesis in the liver. But amaryl, and others like glucotrol, stimulate more insulin output.
When the pancreas reaches a certain point, it stops making insulin (this is called burnout by some) and then you HAVE to use externally supplied insulin from then on. The pancreas can be damaged by autoimmune disease or other things too.
When the oral meds fail there really is no other choice.
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All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
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Weezie looking at petunias 8.25.2017
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