Type 2 diabetes affects individuals differently, with some managing their condition solely through diet and exercise, while others require insulin. Dr. Vijay Negalur, Head of Diabetology at KIMS Hospitals in Thane, highlights that insulin resistance is prevalent in the early stages of diabetes, where the body still produces insulin but does not use it effectively. With lifestyle changes, many can stabilize their blood sugar levels without medication. However, as the disease progresses, the pancreas may produce less insulin, leading to the necessity of insulin therapy for some individuals. Factors such as the duration of diabetes, genetics, age at diagnosis, and initial blood sugar levels influence whether insulin is needed. Importantly, requiring insulin does not signify failure in diabetes management; rather, it is a viable method for maintaining blood sugar control. The overarching goal remains to achieve stable blood sugar levels and prevent complications, regardless of the management approach.