Frequently, yes. Simplified issue is the usual route for a controlled file, and some accelerated underwriting programs accept type 2 diabetes outright — though prescription data may trigger a move to full underwriting.
No-exam cover and diabetes are more compatible than most people expect, but the three products behave very differently.
Accelerated underwriting
Some programs will take a well-controlled type 2 file. Others accept the application, run the data, see metformin or insulin in the prescription record, and move you into underwriting">full underwriting anyway. That is a delay rather than a decline, and it is common enough to plan for.
Worth knowing: carriers also run random holdouts, deliberately routing a share of qualifying applications into full underwriting as a model audit. Being sent for an exam does not necessarily mean anything was found.
Simplified issue
The more predictable route for a managed diabetic file. Fewer questions, no blood draw, faster decision, and — critically — the death benefit pays in full from day one.
Guaranteed issue
Should be a last resort here, not a first stop. Diabetes on its own, even insulin-dependent diabetes, is not usually enough to push a file into no-questions-asked territory, and the pricing gap is substantial.
The full treatment of this topic is on Diabetes.