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When To Take Diabetes Medications

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 >>

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 >>

Should I Use Diabetes Pills Or Insulin?

Should I Use Diabetes Pills Or Insulin?

Diabetes affects the way your body breaks down food. Treatment depends on which type of diabetes you have. In type 1 diabetes, your pancreas stops producing insulin. Insulin is a hormone that helps regulate glucose, or sugar, in your blood. Type 2 diabetes starts with insulin resistance. Your pancreas no longer produces enough insulin or doesn’t use it efficiently. Every cell in your body uses glucose for energy. If insulin isn’t doing its job, glucose builds up in your blood. This causes a condition called hyperglycemia. Low blood glucose is called hypoglycemia. Both can lead to serious complications. A variety of pills are available to treat diabetes, but they can’t help everyone. They only work if your pancreas still produces some insulin. They can’t treat type 1 diabetes. They aren’t effective in people with type 2 diabetes when the pancreas has stopped making insulin. Some people with type 2 diabetes can benefit from using both pills and insulin. Some pills to treat diabetes include: Biguanides Metformin (Glucophage, Fortamet, Riomet, Glumetza) is a biguanide. It lowers the amount of glucose in your liver and boosts insulin sensitivity. It may also improve cholesterol levels and might help you lose a little weight. People normally take it twice per day with meals. You can take the extended-release version once per day. Potential side effects include: upset stomach nausea bloating gas diarrhea a temporary loss of appetite It may also cause lactic acidosis in people with kidney failure, but this is rare. Sulfonylureas Sulfonylureas are fast-acting medications that help the pancreas release insulin after meals. They include: People usually take these medications once per day with a meal. Potential side effects include: irritability low blood glucose upset st Continue reading >>

Diabetes Medications

Diabetes Medications

While making lifestyle changes can go a long way in managing diabetes, as well as related conditions such as high blood pressure and high cholesterol, your doctor may prescribe medications depending on your health needs. Your diabetes treatment plan may include insulin, oral diabetes medication or a combination approach, as determined by your doctor. In some cases, patients may require multiple-drug therapy if they have additional cardiovascular risk factors with diabetes. Adherence to your medication plan is very important. Insulin The pancreas normally secretes a hormone called insulin, which helps the body's cells take in glucose from the blood to use it for energy. When functioning as it should, the pancreas produces the ideal amount of insulin. In people with type 1 diabetes, the pancreas doesn't produce insulin. People with type 2 diabetes produce insulin, but their bodies do not use it properly. Over time people with type 2 diabetes may produce less insulin as well. Insulin may be prescribed for both types of diabetes to help regulate blood glucose so the body can work properly. There are many types of insulin on the market, all of which must be injected into the fat under the skin in order for it to reach the bloodstream. (Insulin is not currently available in pill form because it would be broken down during the digestive process.) Injections can be done using a: Syringe: A needle connected to a hollow tube that holds the insulin and a plunger that pushes the insulin down into and through the needle Insulin pen: A device that looks like a pen and holds insulin but has a needle for its tip Insulin pump: A small machine (worn on a belt or kept in a pocket) that holds insulin, pumps it through a small plastic tube and through a tiny needle inserted under the skin w 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 >>

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 >>

Type 2 Diabetes Faqs

Type 2 Diabetes Faqs

Common questions about type 2 diabetes: How do you treat type 2 diabetes? When you have type 2 diabetes, you first need to eat a healthy diet, stay physically active and lose any extra weight. If these lifestyle changes cannot control your blood sugar, you also may need to take pills and other injected medication, including insulin. Eating a healthy diet, being physically active, and losing any extra weight is the first line of therapy. “Diet and exercise“ is the foundation of all diabetes management because it makes your body’s cells respond better to insulin (in other words, it decreases insulin resistance) and lowers blood sugar levels. If you cannot normalize or control the blood sugars with diet, weight loss and exercise, the next treatment phase is taking medicine either orally or by injection. Diabetes pills work in different ways – some lower insulin resistance, others slow the digestion of food or increase insulin levels in the blood stream. The non-insulin injected medications for type 2 diabetes have a complicated action but basically lower blood glucose after eating. Insulin therapy simply increases insulin in the circulation. Don’t be surprised if you have to use multiple medications to control the blood sugar. Multiple medications, also known as combination therapy is common in the treatment of diabetes! If one medication is not enough, you medical provider may give you two or three or more different types of pills. Insulin or other injected medications also may be prescribed. Or, depending on your medical condition, you may be treated only with insulin or injected medication therapy. Many people with type 2 diabetes have elevated blood fats (high triglycerides and cholesterol) and blood pressure, so you may be given medications for these problem 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 >>

Diabetes Medication - Guides And Information

Diabetes Medication - Guides And Information

Tweet Diabetes medications are a common form of treatment for people with diabetes. There are many different types of diabetes medicines, or anti-diabetic drugs, and this includes insulin, which has its own area within the site. Whilst each drug is unique in the way it works to help patients with diabetes keep their condition under control, some act similarly to one other and are grouped in the same class of drugs. The way in which they are administered can also differ, with some medicines taken orally and others injected directly into the blood. Are diabetes drugs suitable for all diabetics? Most diabetes drugs are designed for people with type 2 diabetes who are unable to control their blood sugar levels through strict diet and exercise alone. But some, such as metformin, are sometimes taken alongside insulin treatment for people with type 1 diabetes. Medication guides Explore the 18 most common medications for diabetes: Assists insulin in controlling post-meal glucose levels. Can more than one drug be taken at the same time? Depending on individual circumstances, a GP may prescribe more than one anti-diabetic drug to help treat a patient’s diabetes. Watch the video below for more information on the types of diabetes medication available. What are the side effects of anti-diabetic medicines? As with any type of medication, blood glucose-lowering drugs can have a number of side effects. These potentially harmful effects are listed in the patient information leaflet that accompanies the medication, so make sure you check this before starting your drug treatment. You may not experience any of the adverse effects listed, but if you do, consult your doctor and/or diabetes care team as they may be able to suggest another suitable medication for your condition. They will a Continue reading >>

3 Answers - What Is The Best Time To Take A Medicine For Diabetes? - Quora

3 Answers - What Is The Best Time To Take A Medicine For Diabetes? - Quora

What is the best time to take a medicine for diabetes? It is advisable to take the dose of your diabetes medicines as prescribed by your doctor. Some people require to take the medicine once in a day and same are advised to take it twice, depending on their condition. Mostly diabetes medications are taken with or before a meal. Type 2 diabetes treatment involves medicines that are taken twice in a day are usually eaten in the morning with breakfast and in the evening with dinner. These medicines help in decreasing the amount of glucose that is released from the liver. Some diabetes medicines that are taken with meals also help in stimulating the pancreas to release more insulin in the body. Your doctor may recommend you to skip the medicine if you skip the meal. If a patient does not eats a meal after having the diabetes medicine, he or she may suffer from hypoglycaemia. This is a condition in which the blood glucose level decreases to a great extent. The patient then has to consume at least 10 to 15 grams of carbohydrate to normalize the blood glucose level in the body. If the condition still doesnt improves, then the body must be given more 15 grams carbohydrates. Continue reading >>

What Time Of Day Is Best To Take Diabetic Medication?

What Time Of Day Is Best To Take Diabetic Medication?

The best time to take your diabetic medication will vary depending on the medicine you're taking. For example, among pills for diabetes, some are meant to be taken before a meal, some at the first bite of a meal and some with food. Some are taken twice a day while others might be taken three times daily. Insulin may be taken as injections a few times a day or given by pump as a steady dose throughout the day. You and your doctor need to choose not only the best medications for controlling your diabetes, but also the best times to take those medications. If your doctor didn’t give you any specific instructions, or if you are confused, look at the bottle and the info sheet from the pharmacy. There are a few meds that need to be taken at certain times for maximum effectiveness or for comfort. For instance, the diabetes drug metformin gives some people nausea when taken on an empty stomach, but rarely causes trouble when taken with meals; while the diabetes medication Starlix needs to be taken right before a meal to work right. For the most part, however, most diabetes drugs have no special timing, so the best time to take them is whenever it will be easiest for you, or when you will be most likely to remember them. Two other non-diabetes drugs that are common to those of us with diabetes are statins for lowering cholesterol and thyroid meds. Statins should be taken in the evening, as most cholesterol is produced by the liver when we sleep and taking the med at bedtime maximizes its effect. Thyroid meds should be taken on an empty stomach, first thing in the morning, without any other pills. Questions Videos Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used fo Continue reading >>

Diabetes Type 2

Diabetes Type 2

Many people with type 2 diabetes are prescribed tablets to help control their blood glucose levels. Metformin is the first-line medication for diabetes in the UK but there are many more types of medication for type 2 diabetes discussed below. Most people had tried initially to control their blood glucose with a regimen of diet and exercise before being given oral medication. Many people took metformin alone to control blood glucose, and some were taking metformin and gliclazide. Both medications help to reduce blood glucose but work differently. Metformin reduces the amount of glucose produced in the liver, and also makes muscle tissue absorb more glucose; gliclazide increases the amount of insulin produced by the pancreas. While people found that the medication they took had helped reduce and control their blood glucose, many had experienced side effects. Metformin can cause diarrhoea and other digestive problems and many people went back to their GPs for advice. Some people felt concerned about the risks they might face from certain drugs after reading negative reports in the media (see 'Misunderstandings about diabetes'). Rosiglitazone has been linked to an increased risk of heart attack and stroke. Since these interviews were conducted in 2008, there has been growing concern about the potential harmful effects of rosiglitazone (Avandia, but also contained in Avandamet and Avaglim) and from September 2010 in the UK and Europe, new prescribing of this drug has stopped, and most people who were taking the drug have been changed to alternative medication. Most people we interviewed had been prescribed higher dosages of medication to control their blood glucose as their diabetes got worse over time. Some people had transferred to insulin while continuing on metformin (se Continue reading >>

Diabetes Medication Metformin: Why Patients Stop Taking It

Diabetes Medication Metformin: Why Patients Stop Taking It

Gretchen Becker, author of The First Year: Type 2 Diabetes: An Essential Guide for the Newly Diagnosed , has been taking metformin for more than 20 years after receiving a diagnosis of type 2 diabetes in 1996. I never had any problems with metformin until I took a pill that I thought was the extended-release version, but it wasnt, Becker told Healthline. Beckers doctor had accidentally prescribed the regular form of metformin. I had very loose bowels for several months until I figured out what the problem was, Becker said. After getting the proper prescription, it took several months for Beckers digestive system to recover. Corinna Cornejo, who received a diagnosis of type 2 diabetes in 2009, told Healthline that her digestive woes didnt start until shed been taking metformin for more than a year. At first, I thought it was a response to dairy, but my doctor eventually switched my prescription to the extended-release version, Cornejo recalled. That has helped, but the side effect has not gone away completely. For some people, however, metformins unpleasant side effect of loose stools provides a much-needed balance to the side effects that can result from other diabetes drugs theyre taking. GLP-1 drugs, like Victoza or Byetta, can cause constipation, explained Robinson. Taking metformin with a GLP-1 drug means they actually complement each other, balancing out those side effects. And for some, metformin simply isnt the right drug. No matter what you do, some patients just dont tolerate the side effects well, said Robinson. Although there are many diabetes drugs on the market today, doctors will likely push metformin first. There has never been as many diabetes treatment options available as there are now, explained Robinson. But doctors look at cost, and metformin is th Continue reading >>

6 Diabetes Medication Mistakes To Avoid

6 Diabetes Medication Mistakes To Avoid

Treating type 2 diabetes can be tricky. Here are common mistakes that can prevent you from taking your medication as prescribed and tips for avoiding them. iStock.com If taking medication is part of your type 2 diabetes treatment plan, following your doctor's directions is essential. “It's important you take your medications on schedule because they have a timed-release,” says Toby Smithson, MS, RDN, LDN, CDE, a spokeswoman for the Academy of Nutrition and Dietetics, the co-author of Diabetes Meal Planning and Nutrition for Dummies, and founder of DiabetesEveryDay.com. Your healthcare provider has calculated the dosage and scheduling to best manage your blood sugar levels and keep them within normal range. There's no single, exact formula when it comes to treating diabetes. But following your individualized course of diabetes medication makes it more likely to work as desired, says Matthew Corcoran, MD, CDE, ASCM, an endocrinologist in Egg Harbor, New Jersey, and founder of the Diabetes Training Camp at Franklin & Marshall College near Lancaster, Pennsylvania. Controlling type 2 diabetes through medication and lifestyle changes can help you avoid serious complications such as heart disease, blindness, and kidney and nerve damage, according to the Independent Diabetes Trust. Yet it can be easy to get off track with your diabetes treatment plan, especially if you're newly diagnosed and think of yourself as healthy, according to a study published in April 2015 in Diabetes Care. Here are common mistakes that may prevent you from sticking to your prescription routine and how you can avoid making them. Mistake #1: You don't realize the role of your medications. “It is important you understand how the medications you are taking work,” Dr. Corcoran says. You’re more l 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 >>

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