Yes, there are pills that will both increase insulin sensitivity (metformin), and to stimulate insulin secretion (the sulfonylureas). These are basically the first line of treatment. But the disease tends to progress to the point where they are no longer enough. The insulin resistance keeps increasing, and at some point insulin secretion also starts to fall off -- though it's usually still very high compared to a non-diabetic. At that point, exogenous insulin is all that's left. Unfortunately, it also seems to be used as a bit of a threat by MDs ("you'd better loose weight and start exercising, or you're going to need injections!")BTW, I'm not an MD, just a somewhat informed layman. I just happen to be married to a type-1, and have type-2 running through my family, so I've been motivated to learn a bit about it all (mainly in an attempt at self-preservation!)
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