With blood sugars over 300, it is now the thought of many endocrinologists to start a person on insulin to detoxify the beta cells of the pancreas. This may only be for a short period if lifestyle changes are diligently made. Sometimes, it is a shift to oral medication or none at all. Over the years, one may need a return to insulin and/or other medications. Take charge of your lifestyle habits and get all the education you can on managing this disease.