Neither treatment is universally "better"; the right choice depends entirely on your individual health needs. For most newly diagnosed Type 2 diabetes patients, oral tablets (like metformin) are preferred initially because they are convenient and help your body use its own insulin more effectively. However, Type 2 diabetes is a progressive condition. Over time, your pancreas may produce less insulin, making insulin injections necessary to safely manage your blood sugar. Both options are highly effective. The "better" treatment is simply the one that safely keeps your blood sugar in your target range, which is a personalised decision we make based on your lab results and lifestyle.

Your fasting blood sugar of 115 mg/dL is well-controlled, but your post-meal (postprandial) reading of 227 mg/dL is high. This spike is likely caused by high-carbohydrate meals, rapid digestion of breakfast, or inadequate post-meal medication coverage. Galvus (vildagliptin) 50 mg is commonly taken twice daily; taking it only once might leave you uncovered after meals. You may need a medication adjustment, such as increasing Galvus to twice daily, adding Metformin, or modifying your diet. Please consult your doctor to safely adjust your prescription.