Like "The biggest difference is going to be that, while many Type 2's can control with diet and exercise, and some also need oral meds...many Type 2's do not require insulin...although some do. Type 1's all require insulin. Thankfully, for me, I am a Type 2, controlling on oral meds diet and exercise. I have a severe needle-phobia, so I am terribly glad I do not need insulin...and everything I do in my diabetes management is done with an eye towards forever avoiding the needle. They need an insulin in a pill...or maybe a gum, like nicotine gum, ya know it?"