SAVARD: Well, this is complicated. So to start from the beginning, anyone who has Type II diabetes, what's happening in the beginning, their pancreas is working overtime to make extra insulin. Usually, they're overweight or sometimes obese, and the insulin in that case doesn't work very well.
So the pancreas is working overtime. At that stage, diet and exercise can do a lot to help that insulin be more effective. Gradually, the longer you have it, your pancreas tires out and produces less insulin. Then you switch to the oral medication that kind of boosts the insulin or lets the insulin work a little bit better.
In the final stages of Type II diabetes, what happens is eventually, your pancreas really fails. It can no longer produce enough insulin and, in that case, you're going to even need insulin injections.
Dr. Marie's Advice: Diet can control Type II diabetes in the early stages. Click here for Dr. Marie Savard's diabetic diet tips.