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Starting insulin in type 2 diabetes: when? why? start insulin in patients with type 2 diabetes at the appropriate time, based on guidelines and best practices;. Insulin and type 2 diabetes: what you should know. insulin and type 2 diabetes. shows that most people need to start diabetes medications and/or insulin right. Diabetes information & resources » managing diabetes » the truth about insulin and type 2 diabetes can someone start taking insulin and then.