It really depends if u need insulin or pills, if you cant control your
blood sugar then you take pills if your
blood sugar is not
high. But if normally your fasting numbers are high then thats why they put you on insulin. I have a coworker that went straight to insulin and shes a diabetic now but her numbers were crazy high like in the 500 when she did the glucose test. The doc just prob know that pills wont help you.