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What Medicine Do You Take When You Have Diabetes?

Cold Medicines That Are Safe For Diabetes

Cold Medicines That Are Safe For Diabetes

Searching for relief for your runny nose, sore throat, or cough? Many over-the-counter cough, cold, and flu remedies list diabetes as an underlying condition that may indicate you should leave the medication on the shelf. The warnings are clear: "Ask a doctor before use if you have: heart disease, high blood pressure, diabetes." Unfortunately, your doctor is not along for the trip to the pharmacy. Because illness causes your body to release stress hormones that naturally raise blood glucose, you'll want to be sure that over-the-counter medications won't increase blood glucose levels, too. Simple Is Best for Cold Medicines Keep it simple by choosing an over-the-counter medication based on the types of ingredients proven to relieve your particular symptoms. Often a medication with just one ingredient is all you need to treat your symptoms rather than agents with multiple ingredients. "To choose the correct medication, take time to speak to a pharmacist," says Jerry Meece, R.Ph., CDE, of Gainesville, Texas. "The proper remedies may not only make you feel better, but also cut the length of the illness and possibly save you a trip to the doctor." Oral cold and flu pills are often a better choice than syrups with the same ingredients because the pills may contain no carbohydrate. If you decide to use a syrup, look for one that is sugar-free. If you can't find one, the small amount of sugar in a syrup will likely affect your blood sugar less than the illness itself, Meece says. Safe OTC Cold Medicines Various over-the-counter medications are designed to treat specific symptoms. Many pharmacists recommend these products for people with diabetes. Symptom: Cough Best option: Anti-tussive dextromethorphan (Delsym, Diabetic Tussin NT [includes acetaminophen, diphenhydramine]) Sympt Continue reading >>

Can I Stop My Diabetes Medications?

Can I Stop My Diabetes Medications?

I was recently diagnosed with type 2 diabetes. I am taking 10 mg of glipizide and 500 mg of metformin twice a day. My A1C was 12.5, but I have been feeling better, and I even stopped taking the glipizide every morning. My blood glucose average is now 170. Is that good, or should I continue to take my glipizide every morning? Continue reading >>

Insulin, Medicines, & Other Diabetes Treatments

Insulin, Medicines, & Other Diabetes Treatments

Taking insulin or other diabetes medicines is often part of treating diabetes. Along with healthy food choices and physical activity, medicine can help you manage the disease. Some other treatment options are also available. What medicines might I take for diabetes? The medicine you take will vary by your type of diabetes and how well the medicine controls your blood glucose levels, also called blood sugar. Other factors, such as your other health conditions, medication costs, and your daily schedule may play a role in what diabetes medicine you take. Type 1 diabetes If you have type 1 diabetes, you must take insulin because your body no longer makes this hormone. You will need to take insulin several times during the day, including with meals. You also could use an insulin pump, which gives you small, steady doses throughout the day. Type 2 diabetes Some people with type 2 diabetes can manage their disease by making healthy food choices and being more physically active. Many people with type 2 diabetes need diabetes medicines as well. These medicines may include diabetes pills or medicines you inject under your skin, such as insulin. In time, you may need more than one diabetes medicine to control your blood glucose. Even if you do not take insulin, you may need it at special times, such as during pregnancy or if you are in the hospital. Gestational diabetes If you have gestational diabetes, you should first try to control your blood glucose level by making healthy food choices and getting regular physical activity. If you can’t reach your blood glucose target, your health care team will talk with you about diabetes medicines, such as insulin or the diabetes pill metformin, that may be safe for you to take during pregnancy. Your health care team may start you on diab Continue reading >>

Should I Start Taking Medicine Right After A Diagnosis Of Diabetes?

Should I Start Taking Medicine Right After A Diagnosis Of Diabetes?

This is a tricky question, and the answer is going to vary from one person to another depending on the situation. The first thing you should know is that several major professional organizations who set guidelines for diabetes treatment, including the American Diabetes Association and the European Association for the Study of Diabetes, say that people should be started on a particular diabetes medication, metformin, right from the time of diagnosis, unless they have a reason that they should not take this medication, such as kidney problems or an allergy to the drug. In actual practice, this is done quite often. But sometimes a doctor will encourage a patient to make lifestyle changes first, and then start the drug if lifestyle changes alone are not effective. I think there are several common-sense guidelines you can follow in answering this question. If you already eat healthfully, exercise and have a normal body weight, or if you are already doing everything you can to live a healthy lifestyle, there is not much point in waiting to start medication. If you have repeatedly been counseled to make those changes but have not, it is probably appropriate to start medication unless there is reason to believe this time will be different. If you have very high blood sugars, let us say with an A1c of more than eight or fingerstick glucoses that are often more than 200, lifestyle changes alone are probably not going to make enough difference, and medicine should be started. On the other hand, if the glucose elevations are only modest, perhaps with an A1c in the high sixes or low sevens, and there is good reason to think the person will make significant lifestyle changes, I often will give him or her the chance to turn things around without medication. Here is an important thing Continue reading >>

Medicines For Diabetes

Medicines For Diabetes

If you have diabetes, taking medicines is a major part of staying healthy because they help keep your blood sugar levels under control. Having blood sugar that's out of control can make you feel awful and can damage your body over the years. Whether you have type 1 or type 2 diabetes, it's important to know what medicine to take, when to take it, and how much to take. Insulin is a hormone that lets sugar, or glucose, get into the body's cells where it can be used for energy. All people with type 1 diabetes and many people with type 2 diabetes need to take insulin every day. The overall goal of treatment with insulin (and other diabetes medicines) is to match the amount of insulin given with the amount of insulin a person needs throughout the day and night. Doing this means that blood sugar levels can be kept as close to normal as possible, which helps a person avoid both short- and long-term problems from diabetes. The types of insulin you use and how much you need to take each day depends on your diabetes management plan. Some people with diabetes need to take two injections each day. Others may need several injections or an insulin pump to keep blood sugar levels under control. Your doctor will help you decide what's best for you. There are a few different kinds of insulin. They differ from one another based on: when they work their hardest to lower blood sugar The table below outlines the types of insulin and how they work. The time it takes for insulin to work, when it peaks, and how long it lasts is different from person to person, and even from day to day as the way a person's body reacts to insulin may change. After a while, you'll get to know how insulin works in your body. Works to control glucose between meals and during the night. Looks cloudy or clear and c Continue reading >>

Can I Treat Diabetes Without Drugs?

Can I Treat Diabetes Without Drugs?

If you have type 1 diabetes, you must take daily insulin injections to keep your blood glucose in a normal range. Your body produces little or no insulin. Insulin is a vital hormone that helps your body convert food into energy. Without insulin, you would die. If you have type 2 diabetes, the answer to this question is much less clear. Many people can keep their blood glucose in a healthy range without medications (either oral diabetes medications or insulin injections) if they lose weight and keep their weight down, are regularly physically active, and follow a meal plan that helps them keep portion sizes under control and helps them spread the amount of carbohydrate they eat at each meal throughout the day. Eventually, however, many people with type 2 diabetes find that despite their best efforts, weight control, exercise and diet aren't enough to keep their blood glucose in a healthy range. This is not unusual. One theory is that some people's insulin-producing cells just get tired out from having to produce more and more insulin because their cells are resistant to the effects of insulin. If your healthcare team tells you that you need to take oral diabetes medications or insulin injections to manage your blood glucose, it's important that you follow their instructions. Keeping your blood glucose in a healthy range is key to preventing long-term complications, such as eye disease, kidney disease, heart attacks, and other problems that poorly controlled blood glucose can cause over a period of years. Continue reading >>

Common Questions About Diabetes Medicines

Common Questions About Diabetes Medicines

How do I know if my diabetes pill is working? The best way to find out how well your diabetes pill is working is to test your blood sugar. Ask a member of your health care team what time of day is best for testing. You'll want to test when your diabetes medicine is expected to be most active in your body. Keep a record of your blood sugar levels (PDF) during that time to see if they're at or near your goal. If your levels are at or near your goal and you're not having any problems with the medicine, then it's probably working well. If you're still not sure, talk to your doctor or other member of your care team. Can I stop taking my diabetes medicine after my blood sugar is under control? It's reasonable to think that after a person gets good blood sugar control, it means the end of managing diabetes. But that's not the case. People with type 1 diabetes aren't able to make their own insulin, so they will always need to take insulin shots every day. For people with type 2 diabetes who are on medicine, the answer isn't as clear. Sometimes when people are first diagnosed, they start on pills or insulin right away. If the person also works hard to control diabetes with diet and exercise, he or she can lower the need for medicine and might be able to stop taking it altogether. As long as the person is able to keep blood sugar levels normal with diet and exercise, there isn't a need for medicine. However, type 2 diabetes changes over time. The change can be fast or slow, but it does change. This means that even if a person was able to stop taking medicine for a while, he or she might need to start taking it again in the future. If a person is taking medicine to keep blood sugar normal, then it's important to keep taking it to lower the chances for heart disease and other healt Continue reading >>

When To Take Diabetes Medicines: Diabetes Questions & Answers

When To Take Diabetes Medicines: Diabetes Questions & Answers

Q. I have Type 2 diabetes, and I currently take 1,000 milligrams (mg) of metformin twice a day, 5 mg of Onglyza (saxagliptin) once a day, and 5 mg of glipizide once a day. Does it matter when I take the Onglyza and the glipizide? I used to take them both at breakfast, but I thought I might get better blood-glucose-lowering coverage if I took one of them with lunch and one with dinner. A. A couple of factors determine the optimal timing of medicine doses. Some drugs, such as rapid-acting insulin, are usually taken just before meals, and others must be taken on an empty stomach or with food. The way a drug works in the body, as well as the time it takes to start working and the duration of its action, may also determine the best time to take a medicine. Glipizide begins working in approximately 30 minutes to an hour. Since this drug increases insulin secretion, it is recommended that you take it before meals to reduce the risk of hypoglycemic episodes. If you take it only once a day, it’s best to do so prior to the largest meal of the day, or with breakfast. Saxagliptin starts working within hours and only achieves peak concentrations in the body after several hours. Saxagliptin, and other agents in the dipeptidyl peptidase-4 (DPP-4) inhibitor class, prevent the breakdown of a hormone called glucagon-like peptide (GLP) in response to the extra glucose in your blood after you eat, which increases the body’s insulin production. Although concentrations of GLP and other similar hormones are higher after eating, they are also released throughout the day under normal circumstances. So saxagliptin and other DPP-4 inhibitors can be taken without regard to meals. Another factor to consider when determining when to take your diabetes medicines is how well you can follow the reg Continue reading >>

10 Tips To Help You Take Your Diabetes Medications On Time

10 Tips To Help You Take Your Diabetes Medications On Time

10 Tips to Help You Take Your Diabetes Medications on Time To keep your blood sugar levels controlled, it's vital to take your diabetes medications as prescribed. Follow these strategies to ensure you take them on time, every time. A pill box is just one of the many handy ways to make taking diabetes meds easier. When Carol Gee, 67, of Stone Mountain, Georgia, was diagnosed with type 2 diabetes nine years ago, she implemented a system to take her medications and never once veered off course. A retired inventory management specialist in the military and a teacher, Gee was familiar with the efficacy of regimens, so she knew sticking to a schedule would help ensure she would always take her diabetes medications as prescribed. In the morning after she wakes up, showers, and brushes her teeth, Gee immediately takes Metformin (glucophage ), Victoza (liraglutide) , and a medication for high blood pressure. Depending on her fasting blood sugar, shell also take fast-acting insulin and eat within 15 minutes. At night, after she brushes her teeth, shell repeat the same process but replaces the fast-acting insulin with a long-lasting insulin. Ive always been organized, and I believe that organization is also important when youre taking medication, she says, explaining that practice and repetition have enabled her to follow the plan. Thanks to this routine, Gee is the exception: Between 38 and 93 percent of people with diabetes struggle to take their medications, according to a review published in June 2015 in Diabetes Medicine . Obstacles to Taking Diabetes Meds on Time If youre taking medication for diabetes whether its pills or injections it can be challenging to do it exactly the way your doctor prescribed and on the same schedule every day. If you take more than one medication Continue reading >>

A Complete List Of Diabetes Medications

A Complete List Of Diabetes Medications

Diabetes is a condition that leads to high levels of blood glucose (or sugar) in the body. This happens when your body can’t make or use insulin like it’s supposed to. Insulin is a substance that helps your body use the sugar from the food you eat. There are two different types of diabetes: type 1 diabetes and type 2 diabetes. People with both types of diabetes need medications to help keep their blood sugar levels normal. The types of drugs that can treat you depend on the type of diabetes you have. This article gives you information about drugs that treat both types of diabetes to help give you an idea of the treatment options available to you. Insulin Insulin is the most common type of medication used in type 1 diabetes treatment. It’s also used in type 2 diabetes treatment. It’s given by injection and comes in different types. The type of insulin you need depends on how severe your insulin depletion is. Options include: Short-acting insulin regular insulin (Humulin and Novolin) Rapid-acting insulins Intermediate-acting insulin Long-acting insulins Combination insulins NovoLog Mix 70/30 (insulin aspart protamine-insulin aspart) Humalog Mix 75/25 (insulin lispro protamine-insulin lispro) Humalog Mix 50/50 (insulin lispro protamine-insulin lispro) Humulin 70/30 (human insulin NPH-human insulin regular) Novolin 70/30 (human insulin NPH-human insulin regular) Ryzodeg (insulin degludec-insulin aspart) Amylinomimetic drug Pramlintide (SymlinPen 120, SymlinPen 60) is an amylinomimetic drug. It’s an injectable drug used before meals. It works by delaying the time your stomach takes to empty itself. It reduces glucagon secretion after meals. This lowers your blood sugar. It also reduces appetite through a central mechanism. Most medications for type 2 diabetes are o Continue reading >>

Type 2 Diabetes Treatment

Type 2 Diabetes Treatment

Although diabetes cannot be cured, it can be treated successfully. If a high blood sugar level is brought down to a normal level, your symptoms will ease. You still have some risk of complications in the long term if your blood glucose level remains even mildly high - even if you have no symptoms in the short term. However, studies have shown that people who have better glucose control have fewer complications (such as heart disease or eye problems) compared with those people who have poorer control of their glucose level. Therefore, the main aims of treatment are: To keep your blood glucose level as near normal as possible. To reduce any other risk factors that may increase your risk of developing complications. In particular, to lower your blood pressure if it is high and to keep your blood lipids (cholesterol) low. To detect any complications as early as possible. Treatment can prevent or delay some complications from becoming worse. Type 2 diabetes is usually initially treated by following a healthy diet, losing weight if you are overweight, and having regular physical activity. If lifestyle advice does not control your blood sugar (glucose) levels then medicines are used to help lower your blood glucose levels. One medicine (usually metformin) is used first but two or even three medicines may be needed. Most of the medicines for type 2 diabetes are given in tablet form. However, some people with type 2 diabetes need insulin injections to help control blood glucose levels. Some people gain a great deal of benefit from insulin injections and these are sometimes used fairly soon after the diagnosis of type 2 diabetes has been made. Insulin injections can be used in combination with other medicines to further improve glucose control. Lifestyle - diet, weight control an Continue reading >>

Oral Diabetes Medications Summary Chart

Oral Diabetes Medications Summary Chart

What Oral Medications Are Available for Type 2 Diabetes? Type 2 diabetes results when the body is unable to produce the amount of insulin it needs to convert food into energy or when it is unable to use insulin appropriately. Sometimes the body is actually producing more insulin than is needed by a person to keep blood glucose in a normal range. Yet blood glucose remains high, because the body's cells are resistant to the effects of insulin. Physicians and scientists believe that type 2 diabetes is caused by many factors, including insufficient insulin and insulin resistance. They increasingly believe that the relative contribution each factor makes toward causing diabetes varies from person to person. It is important to know the name of your diabetes medicine (or medicines), how it is taken, the reasons for taking it and possible side-effects. Diabetes Pills How to Take How They Work Side Effects Of Note Biguanides Metformin (Glucophage) Metformin liquid ( Riomet) Metformin extended release (Glucophage XR, Fortamet, Glumetza) Metformin: usually taken twice a day with breakfast and evening meal. Metformin extended release: usually taken once a day in the morning. Decreases amount of glucose released from liver. Bloating, gas, diarrhea, upset stomach, loss of appetite (usually within the first few weeks of starting). Take with food to minimize symptoms. Metformin is not likely to cause low blood glucose. In rare cases, lactic acidosis may occur in people with abnormal kidney or liver function. Always tell healthcare providers that it may need to be stopped when you are having a dye study or surgical procedure. Sulfonylureas Glimepiride (Amaryl) Glyburide (Diabeta, Micronase) Glipizide (Glucotrol, Glucotrol XL) Micronized glyburide (Glynase) Take with a meal once or twice Continue reading >>

Taking Care Of Your Diabetes Every Day

Taking Care Of Your Diabetes Every Day

There are four things you need to do every day to lower high blood sugar: Eat healthy food Get regular exercise Take your diabetes medicine Test your blood sugar If you have diabetes, you should try to keep your blood sugar level as close as possible to that of someone who doesn’t have diabetes. This may not be possible or right for everyone. Check with your doctor about what the right range of blood sugar is for you. You will get plenty of help in learning how to do this from your health care team, which is made up of your doctor, nurses, and dietitian. Bring a family member or friend with you when you see your doctor. Ask lots of questions. Before you leave, be sure you understand everything you need to know about taking care of your diabetes. Eat Healthy Food The foods on your diabetes eating plan are the same ones that are good for everyone. Try to stick to things that are low in fat, salt, and sugar and high in fiber, like beans, fruits, vegetables, and grains. Eating right will help you: Reach and stay at a weight that is good for you Keep your blood sugar in a good range Prevent heart and blood vessel disease Ask your doctor for the name of a dietitian who can work with you on an eating plan for you and your family. Your dietitian can help you plan meals with foods that you and your family like and that are good for you. If You Use Insulin Give yourself an insulin shot. Eat about the same amount of food each day at about the same time. Don't skip meals, especially if you’ve already given yourself an insulin shot. Your blood sugar may go too low. If You Don't Use Insulin Follow your meal plan. Don't skip meals, especially if you take diabetes pills. Your blood sugar may go too low. Skipping a meal can make you eat too much at the next meal. It may be better to Continue reading >>

Type 2 Diabetes

Type 2 Diabetes

Print Diagnosis To diagnose type 2 diabetes, you'll be given a: Glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes. A result between 5.7 and 6.4 percent is considered prediabetes, which indicates a high risk of developing diabetes. Normal levels are below 5.7 percent. If the A1C test isn't available, or if you have certain conditions — such as if you're pregnant or have an uncommon form of hemoglobin (known as a hemoglobin variant) — that can make the A1C test inaccurate, your doctor may use the following tests to diagnose diabetes: Random blood sugar test. A blood sample will be taken at a random time. Blood sugar values are expressed in milligrams per deciliter (mg/dL) or millimoles per liter (mmol/L). Regardless of when you last ate, a random blood sugar level of 200 mg/dL (11.1 mmol/L) or higher suggests diabetes, especially when coupled with any of the signs and symptoms of diabetes, such as frequent urination and extreme thirst. Fasting blood sugar test. A blood sample will be taken after an overnight fast. A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes. Oral glucose tolerance test. For this test, you fast overnight, and the fasting blood sugar level is measured. Then you drink a sugary liquid, and blood s Continue reading >>

Type 2 Diabetes - Understanding Medication - Nhs.uk

Type 2 Diabetes - Understanding Medication - Nhs.uk

Most people need medicine to control their type 2 diabetes. Medicine helps keep your blood sugar level as normal as possible to prevent health problems. You'll have to take it for the rest of your life. Diabetes usually gets worse over time, so your medicine or dose may need to change. Adjusting your diet and being active is also necessary to keep your blood sugar level down. Diabetes medicines help lower the amount of sugar in your blood. There are many types of medicine for type 2 diabetes. It can take time to find a medicine and dose that's right for you. You'll usually be offered a medicine called metformin first. If your blood sugar levels aren't lower within 3 months, you may need another medicine. Over time, you may need a combination of medicines. Your GP or diabetes nurse will recommend the medicines most suitable for you. Insulin isn't often used for type 2 diabetes in the early years. It's only needed when other medicines no longer work. Diabetes UK has more information about taking medicines for type 2 diabetes . Your GP or diabetes nurse will explain how to take your medicine and how to store it. If you need to inject insulin or medicine called gliptins, they'll show you how. Your diabetes medicine may cause side effects. These can include: If you feel unwell after taking medicine or notice any side effects, speak to your GP or diabetes nurse. Don't stop taking medication without getting advice. How to get free prescriptions for diabetes medication You're entitled to free prescriptions for your diabetes medication. To claim your free prescriptions, you'll need to apply for an exemption certificate. To do this: you should get the certificate in the post about a week later it will last for 5 years take it to your pharmacy with your prescriptions Save your re Continue reading >>

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