Re: can someone tell me what this means?
I'm assuming it's the protein in the urine that's freaking you out?
What it means depends on how much. Most diabetics will develop a condition called microalbuminuria after many years of the disease, even if it's very well controlled. Microalbuminuria is one of the first signs of kidney damage, but it doesn't necessarily mean one's kidneys are about to fail. It just means they're not filtering protein quite perfectly anymore...and it can be very minor. It is a warning to make sure he keeps his numbers down, and it means he probably should be on an ACE inhibitor to further protect his kidneys, but we could still be talking decades before there's anything to be overly concerned about.
On the other hand, if it's m ore than micro...he could be in the early stages of kidney failure. Here again, the best way to prevent further damage is to keep the blood glucose under tight control and take ACE inhibitors.
As for progressing to insulin, most (although not all) T2's will eventually need insulin, especially if they develop T2 early in life and have it for many years. Also, those of us who developed it before the insulin-sensitizing oral medications were on the market, thus causing us to have to take sulfonyureas, will need to go on insulin sooner than people who develop T2 today, because the sulfonyureas put great stress on the pancreas to produce more insulin, thus wearing out the beta cells faster. At this point he'll have a lot to learn about managing insulin, but the closer to normal he can keep his numbers, the better it'll be for his kidneys and, indeed, ALL his organs.
What insulin regimen did they give him? If you two have any questions about it, or about counting carbs, or anything, feel free to ask.