If your fasting blood sugar is running 200, you are not in "pretty good health". But most doctors will try oral drugs before going to insulin. If you're already on oral drugs and can't get your fasting below 200, the doc really doesn't have a choice but to put you on insulin. Unless, of course, you're willing to step up your exercise and improve your diet.
Fasting blood sugar isn't a very good test, although doctors like it because they're familiar with it and it's cheap. Your doctor should be checking your hemoglobin A1C before changing your medication. If you don't know what your last few A1C readings were, ask your doctor. If your old doctor wasn't monitoring A1C, then it's a good thing for you he retired.
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Today's Featured Article - New Life for an Old Allis - by Tyler Woods. My friend Jon, has an old '39 Allis Chalmers B. He thought it a marginal tractor that had long since served its time. She smoked terribly and never had much power but he couldn't afford another so he was limping along with what he had. Jon's Allis has a small front loader and though it doesn't carry much, it serves his needs. It was the hard starting and low power that made him think it was time to replace the old girl. Jon called me to help him discover why his tractor wouldn't start
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