I&#x27;m not sure which report you&#x27;re looking at, but &quot;prescription medications to treat complications of diabetes&quot; means things like painkillers for neuropathy, antibiotics for infections, et cetera.  Insulin falls under &quot;antidiabetic agents&quot;, which treat diabetes itself, not the complications.<p>But most of the 20 million diabetics in the US are type 2 and do not require insulin; it&#x27;s only Type 1s and the most severe cases Type 2s who take insulin.