All diabetics, if willing, should have insulin therapy (and all the technology available to support it) available from DX.
I'm T2, and finally getting over the "I failed, I'm just that much more enfeebled" nonsense about insulin therapy has changed my life as a T2 diabetic. Literally.
Getting and maintaining BG in a normal range (I target 85 and correct to stay there, manage food boluses so I don't go over 140 postprandial, good on that most of the time) will make you feel like a million bucks. Clear headed, energetic, happier, and in control.
Most T2's, even if their before-meal FBG is under 120 as prescribed by most doctors, are spending lots of time above 140, probably near or above 200, after eating. They don't know this because most don't check again for 4-5 hours at the next meal. They're swinging wide, which is another factor that makes one feel sick, sluggish, etc.
I went from intensive therapy for 7 weeks on shots (Lantus for basal, Humalog for bolus), to a pump and a CGM. That change was another one that, literally, changed my life.
T2's by definition are always insulin resistant. Insulin resistance is what causes diabetes in T2's. There are plenty of T2's that eat healthy, are not fat, and still develop(ed) insulin resistance.
People can have a double-whammy and have, basically, both T1 and T2, if they're unlucky to have the genetics that cause the autoimmune response, and insulin resistance. We have several here on TuD.
Actually, T2s by definition cannot be diagnosed as having any specific diagnosis (T1/LADA, MODY, etc.). Certainly, many of those diagnosed as T2 have insulin resistance, but many also have a range of other issues. Ralph DeFronzo talks about eight separate defects in his 2008 Banting Lecture which highlights these separate defects, only one of which is insulin resistance.