Honeymoon Phase and Initiating Insulin Treatment by R.S Beaser, MD. February 24, 2017

"Those with type 2 diabetes have traditionally started insulin when their condition has progressed to the point at which their endogenous insulin production is insufficient to maintain their good health" - Joslin's insulin Deskbook by R.S Beaser, MD. 

Interesting point I as I do see. Really, why do not start insulin before insulin production fail below level of recovery?

"The honeymoon phase of type 1 diabetes classically occurs a few weeks after diagnosis and initiation of insulin therapy. It is less common in younger children and most common in people diagnosed with type 1 diabetes in their late teens or early adulthood. With the onset of classic, autoimmune type 1 diabetes, at the time of diagnosis there is considerable inflammation of the islets of Langerhans from the immune assault. When exogenous insulin therapy is initiated, the need for pancreatic insulin production decreases, and with decreased metabolic activity in Beta -cells the inflammation subsides. Some B-cell function returns as cells that were inflamed but not yet destroyed resume insulin production. The honeymoon phase thus represents the recovery of some B-cell function." page 36.

I do not see what else can I say. Diabetes type 1 can be reversed with insulin therapy. In contrary, diabetics type 2 do not have this opportunity. Diabetics type 2 can be insulin recipients only after ...., really, when diabetics type 2 would be qualified for insulin therapy? Many diabetics type 2 die before this therapy come. For others, it is probably would be started when sugar is close to fatal level. Also, never forget, diabetics type 2 must be lean, fit. If there is obesity, there is no insulin therapy initiation.
       I would name this treatment of diabetics type 2 Diabetes Abusity.  Really, say me why diabetics type 2 do not start insulin till their "endogenous insulin production is insufficient to maintain their good health"? Simple question, why?
       Diabetics type 2 initial starting therapy is SU, medicine which force pancreas to secret more insulin, very often needlessly. This therapy leads to dipper insulin deficit.  Inflamed pancreas forced to work harder. In contrary, diabetic type 1 has insulin injected and this insulin let diabetic's type 1 pancreas time to recovery. Also insulin injected preserve b-cells. In contrary SU destroy b-cells, leading to wider gap between insulin in demand and insulin available in secretion.

 Pancreas the same as any other human body organs can get inflammation at any time. This condition do not discriminate human according to body mass. Flu or any inflammation can happen at any time, at any age, in any body shape or dimensions. When it is treated properly, it is recovery. When the treatment not available or denied  acute condition which can be treated and patient can recovery, become chronicle, when condition get easy or harder, but one never healthy.

via Ravenvoron