Hello Roy, welcome aboard! Have you tried Byetta? Some Type 2's have had good success with it. There are several Type 2 meds but I am a Type 1 so I am not giing to give any advice on meds. Tupe 2 diabetes is progressive and when meds no longer work insulin is prescribed. There are many Type 2's using insulin and I know several who are using insulin pumps and they have excellent control. I hope your doctor will know what to do. An increased dosage of your present med, a new med supplementing Metformin or , if necessary, insulin. Good luck to you!