 I am Dr. Sagarika Mukherjee. I am a consultant endocrinologist at Manipal Hospital in Phukata. We will be mainly talking about whether insulin is good or whether oral medicine is good for diabetes. Now you are aware that there are two types of diabetes. One is called type 1 diabetes where the body does not have any insulin on board. And there is a second one called type 2 diabetes where you have got a lot of insulin inside your circulation. But that insulin is not working properly. So for type 1 diabetes as the definition goes that you do not have any insulin on board. So there is no treatment option for type 1 diabetes. So insulin and insulin is the only treatment option for type 1 diabetes. Type 2 diabetes, yes. Type 2 diabetes you have got lots of insulin on board. But this insulin is either not secreted properly or the insulin is not working properly, insulin is not entering your cells of the body properly. So therefore you need medication which will help your own insulin to work or which will enhance your own insulin's action. Now when type 2 diabetes develops there is an odd factor which is created inside the body called insulin resistance. There are a lot of medications available nowadays which then address the insulin resistance and reduces the insulin resistance which helps your own insulin to work. So for type 2 diabetes once your diagnosis with diabetes you start off with diet and exercise. Whether you are type 1, whether you are type 2 diet and exercise goes hand in hand for whatever your diagnosis is and that goes on till for the rest of the life. There is no daily relief from diet and exercise. Lifestyle adjustment must and must be followed for management of diabetes. For type 2 diabetes you get started on medication. Initially we start on one medication and then if it is not working then many a times if your blood sugar control when diagnosis is made with a test called fasting and pp blood sugar, post-pandial blood sugar that is after a meal and a test called glycosylated hemoglobin or HPA1C. Depending what your HPA1C is your healthcare provider might provide you might give prescribe you combination medicine that is medication which are complementary in action. They complement each other in the mode of action and they reduce your HPA1C together in a very very robust way. So that is possible as well. So and once the medication are not working once the medication are failing to work that is not providing you adequate control for your HPA1C in spite that you are compliant with diet and exercise then healthcare providers think of starting you on insulin. Now starting someone on insulin on diabetes is not a curse at all. Remember insulin is a life saving medication. Insulin was discovered 1921 and it had completely revolutionized the way the diabetes is treated. Prior to that people with diagnosis of diabetes used to really pass away with diagnosis of diabetes because there was no treatment. So insulin had revolutionized treatment. So in taking insulin is not a curse at all. Insulin can be taken with a simple pen. Those can be adjusted very easily. The modern pen devices are very very handy today. And there are some complementary medications as well which goes all along with insulin. Hope this was very helpful. Please stay tuned for more information on diabetes management.