What is the safest type 2 diabetes drug?

Official answer. Most experts consider metformin to be the safest medicine for type 2 diabetes because it has been used for many decades, is effective, affordable, and safe. Metformin is recommended as a first-line treatment for type 2 diabetes by the American Diabetes Association (ADA).
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Is there an alternative to metformin for type 2 diabetes?

Precose, Januvia, Victoza, Glucotrol XL, and Actos are some metformin alternatives. Get the full list here. Metformin is an oral prescription medication used in the treatment of Type 2 diabetes mellitus. It belongs to a class of drugs known as biguanides.
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What is the best drug on the market for type 2 diabetes?

Metformin is a tried and tested medicine that has been used for many decades to treat type 2 diabetes, and is recommended by most experts as first-line therapy. It is affordable, safe, effective, and well tolerated by most people.
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What is better than metformin for type 2 diabetes?

Insulin remains the most effective therapy to lower glucose, particularly in comparison to most oral medicines for type 2 (including metformin).
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What is the safest blood sugar medication?

Metformin is still the safest and most effective type 2 diabetes medication, said Bolen.
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Type 2 diabetes: Which drug is best?



What medication is replacing metformin?

Alternative options
  • Prandin (repaglinide) ...
  • Canagliflozin (Invokana) ...
  • Dapagliflozin (Farxiga) ...
  • Empagliflozin (Jardiance) ...
  • Actos (pioglitazone) ...
  • Herbal options.
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Which is worse metformin or glipizide?

Another comparative trial found that metformin provided better blood sugar control than glipizide. Those taking metformin in the study had better fasting plasma glucose levels than glipizide after 24, 36, and 52 weeks. Those taking metformin also had a lower HbA1c level than those taking glipizide after 52 weeks.
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Is Ozempic better than metformin?

Metformin has an average rating of 6.9 out of 10 from a total of 611 ratings on Drugs.com. 56% of reviewers reported a positive effect, while 18% reported a negative effect. Ozempic has an average rating of 5.9 out of 10 from a total of 641 ratings on Drugs.com.
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Which is safer metformin or glimepiride?

CONCLUSIONS—Glimepiride reduced A1C similarly to metformin with greater weight gain, and there was comparable safety over 24 weeks in the treatment of pediatric subjects with type 2 diabetes.
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What is the newest type 2 diabetes medication?

A new drug to treat type 2 diabetes has received approval from federal regulators. The drug tirzepatide is a once-a-week injection that helps people manage blood glucose levels and reduce food intake. Experts say the clinical trial results indicate that tirzepatide is a promising new treatment for type 2 diabetes.
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Is Farxiga better than metformin?

Farxiga has an average rating of 4.5 out of 10 from a total of 129 ratings on Drugs.com. 28% of reviewers reported a positive effect, while 51% reported a negative effect. Metformin has an average rating of 6.9 out of 10 from a total of 611 ratings on Drugs.com.
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Which is safer glimepiride or glipizide?

"In these patients, we now know that glimepiride appears to be safer than the other commonly prescribed sulfonylureas, glipizide and glyburide, available in the United States."
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Is Rybelsus better than metformin?

The bottom line. Metformin has been used to treat diabetes for a long time, while Rybelsus was recently approved in 2019. Both medications are effective for lowering blood sugar levels. Metformin is often the first-choice medication for this use.
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What is the best medicine to lower A1C?

While results showed liraglutide and insulin were the most (and similarly) effective in keeping A1C levels less than 7%, glimepiride had a smaller effect and sitagliptin showed the lowest effect, resulting in the highest frequency of developing A1C levels persistently greater than 7%.
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Why is glimepiride a high risk medication?

Glimepiride increases the risk of dangerously low blood sugar levels. People who take this medication must, therefore, check their blood sugar levels regularly. Glimepiride may also cause other side effects, especially when taken with certain other medications.
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Is glimepiride hard on the kidneys?

In conclusion glimepiride is safe, effective and has clearly-definable pharmacokinetics in diabetic patients with renal impairment. The increased plasma elimination of glimepiride with decreasing kidney function is explainable on the basis of altered protein binding with an increase in unbound drug.
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What are the long term side effects of glimepiride?

Glimepiride side effects
  • low blood sugar (hypoglycemia). Symptoms may include: trembling or shaking. nervousness or anxiety. irritability. sweating. lightheadedness or dizziness. headache. fast heart rate or palpitations. intense hunger. fatigue or tiredness.
  • headache.
  • nausea.
  • dizziness.
  • weakness.
  • unexplained weight gain.
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Which is safer Ozempic vs Trulicity?

In a phase 3b clinical trial, called SUSTAIN 7, comparing Ozempic against Trulicity, Ozempic was found to be slightly better in terms of improving blood sugar control and resulting in weight loss, with a similar safety profile.
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Which is better Jardiance or Ozempic?

Compared to Jardiance (once-daily SGLT-2 inhibitor pill): The highest dose of oral Ozempic (14 mg) lowered A1C more than Jardiance: 1.3% decrease vs. 0.8% decrease. Average weight loss was about 10 pounds for oral Ozempic and 8 pounds for Jardiance.
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Is Ozempic better than Trulicity?

In the SUSTAIN 7 trial, Ozempic® was proven superior to Trulicity® in A1C reduction, A1C control, and weight reduction in adults with type 2 diabetes. Ozempic® is not indicated for weight loss.
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Which is better Farxiga or glipizide?

Glipizide is a generic medication with a significantly lower cost compared to Farxiga. As a much older medicine, there is a longer track record with glipizide, leading some patients and healthcare providers to be more comfortable with it.
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How safe is glipizide?

A safe and effective dose for children hasn't been established. You may be more sensitive to glipizide, which may increase your risk of low blood sugar. Your doctor may start you on a lower dosage of 2.5 mg taken once per day.
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What should my blood sugar be when I wake up?

Whenever possible, aim to keep your glucose levels in range between 70 and 130 mg/dL in the morning before you eat breakfast, and between 70 and 180 mg/dL at other times.
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How can I lower my A1C without medication?

Here are nine ways to lower your A1C:
  1. Make a food plan. Eating the right foods is essential to lowering your A1C, so you want to make a plan and stick to it. ...
  2. Measure portion sizes. ...
  3. Track carbs. ...
  4. Plate method. ...
  5. Have a realistic weight loss goal. ...
  6. Exercise plan. ...
  7. Take medications. ...
  8. Supplements and vitamins.
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Is Rybelsus better than Januvia?

Rybelsus outperformed Januvia and Jardiance in trials on measures like blood glucose reductions, so there is a case to be made for premium pricing.
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