Many people need medicines as well as meal planning and physical activity to reach their blood glucose, blood pressure and cholesterol targets. If you have had type 2 diabetes for a while, you may need a change in your diabetes pills to reach your blood glucose targets. If you need insulin shots, it does not mean that your diabetes is getting worse. It just means that you need a change in how you reach your target numbers.
If it is hard for you to reach your ABC target numbers, talk with your health care team about the medicines you are taking now and what doses. Work with your team to adjust your medicines so that they help you to reach your target goals. Also, be sure to ask if you need to take an antiplatelet medicine, such as aspirin or clopidogrel, to prevent a heart attack or stroke.