Quote from Ed1944:Is that level of insulin level slightly or highly high?
How long can you go being non insulin dependent?
Is it advisable to check your blood sugar, say once a day at the same time?
You haven't got an answer from an expert yet. So here goes.
I am not a doctor. And I am a Type1 Diabetic. So I don't know a lot about Type 2. But having been insulin dependent for 27 years has given me some useful insights. And you may find comments from my perspective interesting.
Your blood sugar is high enough for you to be classed as diabetic. But it isn't that bad. Sounds like the problem has been identified early on. Which is great because you will be able to make a real difference by managing the condition actively.
The normal fasting insulin range is 5-25. So your level of 36 is a bit on the high side. And it suggests that you are insulin resistant, and is probably why you have been put on Avandamet. But, having said that, much higher insulin levels, like 90, are not uncommon. So things could be a lot worse.
You have a window of opportunity now. By normalising your blood sugars, you can prevent the potentially very nasty long term complications. If you eliminate the insulin resistance and normalise your blood sugars, you shouldn't ever have to inject insulin. It will take work. But it is achievable.
At this stage, the more often you test the better. More than anything else, you need information to be able to manage your diabetes. Information about how food affects your blood sugar. Only then will you be able to make eating choices that keep ypour blood sugars in the target range.
Testing once a day won't tell you very much. Initially, you should test before eating (to get the baseline reading), one hour after eating (to see how high the food you have eaten pushes your blood sugar), and two hours after eating (to see how quickly your blood sugar comes down again). This might sound like a lot of testing. But it will provide you with valuable info.
You will probably find that your blood sugar spikes after meals. And, for much of the rest of the time, it is close to normal levels. Your challenge initially is to eliminate the spiking effect. And your main tool for doing that is by making appropriate food choices. You will probably discover that the white carbs, rice, potatoes, pasta and bread, really push up your blood sugars.
Reducing and leveling out the carbohydrate load should go way to normalising your blood sugars and reducing you insulin resistance. Consider going on a low-carb, or at least a reduced carb diet. Excercise will also reduce your insulin resistance.
Hope this helps.