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Medications to Treat Type 2 Diabetes HF#6264

There are many medicines that are used to treat diabetes.  They are used when a meal plan and exercise do not control your blood sugar.  They are not used to replace a healthy meal plan and exercise. You and those on your health care team will choose which medicines are best for you. 

 

Medication Names

Key Points

Sulfonylureas

 

Examples:

  • Glipizide (Glucotrol®)
  • Glyburide (Micronase®)
  • Glimepiride (Amaryl®)
  • Helps the pancreas make more insulin
  • Can cause low blood sugars
  • Can cause loss of appetite, nausea, vomiting, diarrhea, and stomach cramps

 

Biguanides

 

Example:

  • Metformin (Glucophage®)
  • Prevents the liver from making glucose
  • Helps the muscles use glucose
  • Slows down how quickly the intestine absorbs glucose
  • May cause nausea, diarrhea, and bloating.  Taking it with food may decrease these side effects. These symptoms often disappear in a few weeks.

Thiazolidinediones (“TZDs”)

 

Examples:

  • Pioglitazone (Actos®)
  • Rosiglitazone (Avandia®)
  • Helps muscles use glucose
  • Decreases glucose produced by the liver
  • May cause swelling and/or weight gain

 

Meglitinides

 

Examples:

  • Repaglinide  (Prandin®)
  • Nateglinide (Starlix®)
  • Helps the pancreas to make more insulin
  • Works quickly after meals to lower blood sugar in the first hour after a meal
  • Can cause weight gain
  • May cause low blood sugars

Alpha Glucosidase Inhibitors

 

Examples:

  • Acarbose (Precose®)
  • Miglitol (Glyset®)
  • Delays the travel of sugar in the bloodstream after eating
  • Gas and bloating are common

 

Sitagliptin (Januvia®)

  • Regulates the amount of insulin your body makes after eating

 

Special Instructions

 

Sulfonylureas

Glipizide (Glucotrol®), Glyburide (Micronase®), Glimepiride (Amaryl®)

 

Do not take if

 

  • You are having fasting blood work (You need to hold your medicine while fasting until you are able to eat.  Ask your doctor for instructions).

 

  • You are having surgery.

 

  • You are unable to eat for a long time.

 

Biguanides

Metformin (Glucophage®)

 

Do not take when

 

  • You are having surgery.

 

  • You are ill (nausea, vomiting, diarrhea or fever).

 

  • You are having an X-ray or CT scan that requires the use of a dye.

 

Ask your health care team if you should take Metformin when

 

  • You have kidney or liver problems.

 

  • You have CHF (Congestive Heart Failure).

 

 



The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.

Last Updated: 06/04/2012

Copyright © 06/15/2009 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6264

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