you’ll want to try keeping tight blood sugar control if at all possible. To offer counterpoint to FlGuy’s experience, I had to increase my Lantus insulin
dosage to 110 units toward the end of treatment; insulin wasn’t working very well. I was already maxed out on Glipizide, Metformin, and Actos as well. Post treatment, I continue to use the oral drugs, but no longer require *any* insulin… pretty cool stuff.