Managing type 2 diabetes doesn't always require insulin. Here are some non-insulin treatment options: 1. **Lifestyle Changes**: Healthy eating, regular exercise, and weight loss can significantly help manage blood sugar levels. Avoiding tobacco is also crucial. 2. **Oral Medications**: There are various classes of oral medications that help lower blood sugar levels. Sometimes, a combination of these medications is used. 3. **Injectable Medications**: Besides insulin, other injectable medications like GLP-1 receptor agonists and amylin analogues can help control blood sugar, especially after meals. 4. **Weight Loss Surgery**: For those with a high BMI, weight loss surgery might be recommended to improve blood sugar levels and reduce complications. 5. **Monitoring and Adjustments**: Regular check-ups with your doctor are essential to monitor your condition and adjust treatments as needed. Always discuss potential side effects and interactions with your doctor before starting any new treatment.