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First off, you get a pat on the back for walking the walk--or, going to, anyway!

Secondly, you and I are both trying to control with diet and exercise. I've been off my oral meds for 14 months now; my HbA1c's are still lower now, than they ever were while I was taking Amaryl.
Just a coupla points for you:

-- there is no 'insulin pill' yet (which I'm pretty sure you know); at least, not on the market. A company called Emisphere has one in trials right now, though. However, your point is still the same; since, for example, with Amaryl (or any other sulfonylurea), what it does is force the pancreas beta islet cells to pump out more insulin whether they want to or not; which is not healthy for pancreas longeviity. Plus, more insulin in a Type-II's system usually is 'bad', in the sense that it makes our insulin insensitivity problem...which is what Type II diabetes really is--worse; not to mention promoting weight gain, which in many of our cases is exactly the wrong direction to go.

-- you and I will not degenerate to 'Type I', technically. Type I is an autoimmune disease where most everything else works, except that the insulin producing cells have been destroyed. In our case, if we don't aggressively work to hold our condition back...meaning, slow our decline through aggressive diet, exercise, and testing..... our beta cells can't pump out enough (or burn out), our insulin intolerance is worse...then we have to start injecting the stuff, which makes it over time keep on getting worse, etc. etc. That's why it's a degenerative disease; feeds on itself.
..unless you fight it like you are. Keep up the good work! And good luck on the walk.

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