Insulin works better than drugs for the diabetic. Now matter how minor, a small injecting will put you back on track. Of course, my case is very serious. I need about 11 injections per day, exercise in the gym 75 mins. each day and eat many small meals per day. That is why I am healthy. But drugs companies try to convince doctors to have me use metformin with some idea I may need less. Truth, insulin is needed to make dopamine production correct, to use the store glycogen in the liver and without insulin, a domino effect of declining health will follow. So pills are not necessary, but insulin must be used with reason, exercise to keep from having to take too much, a physiologist to coach and a counselor to keep you on track.