It absolutely can be something that creates a cycle of dependence but I tend to look at it as harm reduction at that point. Weekly injections aren't a fun process though and, at least for me, I was striving to be off any/all medication. Being told you're effectively Type II at 34 was not a fun experience for me and I've been trying to control/put it into remission without having to take Metformin and Ozempic.
To be clear, I'm not intending to shame or throw shade at those who take or need the drugs, I just want to do all in my power avoid them as much as I can.