Diabetes India

Taking insulin rather than tab

Sir, I am 62 yrs old. I am type 2 diabetic for the past 28 yrs.Already I had Glynase2.5 then 5 mg later 10mg. Last 8 yrs I am taking Glimy M1 in night and M2 in the morning. I am maintaining my wt around 60 kg for the past 15 yrs. Nowadays my friends advise me to take insulin inj. instead tabs. Kindly give your opinion in this regard.

Kind regards

M. Prabakaran

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it is wise to consult an endocrinologist/doctor for advice than your friends

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For diabetes treatment,you will receive advise from numerous sources.But,as far as medication is concerned,you have to strictly follow what your doctor says.

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Hi prabakaran,

As rvmasalvad and ramana42 had suggested-- please consult your doctor before you decide to change anything related to your medication and/or diet. Sometimes, the best change a person can make is no change at all. See what your doctor suggests and if they agree that you don't need pills, but you should start with insulin injections, then that is when you can start making some changes. Please let us know what you find out soon.

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Best thing before going to doctor

Measure

Fasting sugar

2 hours after break fast

Before Lunch

2 hours after lunch

Before dinner

2 hours after dinner

Using your own Glucometer

Plus A1C. The doctor will evaluate and provide right dosage of medicines.

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Glyburide (generic name) Glynase (brand name) is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glyburide is in a class of medications called sulfonylureas. Glyburide lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.

Glimy M Tablet contains Glimepiride, and Metformin as active ingredients.

Glimepiride is used along with diet and exercise, and sometimes with other medications, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Glimepiride lowers blood sugar by causing the pancreas to produce insulin (a natural substance that is needed to break down sugar in the body) and helping the body use insulin efficiently. This medication will only help lower blood sugar in people whose bodies produce insulin naturally.

Metformin is used alone or with other medications, including insulin, to treat type 2 diabetes (condition in which the body does not use insulin normally and, therefore, cannot control the amount of sugar in the blood). Metformin is in a class of drugs called biguanides. Metformin helps to control the amount of glucose (sugar) in your blood. It decreases the amount of glucose you absorb from your food and the amount of glucose made by your liver. Metformin also increases your body's response to insulin, a natural substance that controls the amount of glucose in the blood.

You may adopt insulin therapy and avoid side effects of anti-diabetic medications.

Potential side effects of common diabetes drugs:--

Sulfonylureas: low blood sugar, upset stomach, skin rash or itching, weight gain.

Biguanides/Metformin: sickness with alcohol, kidney complications, upset stomach, tiredness or dizziness, metal taste.

Alpha-glucosidase inhibitors: gas, bloating and diarrhoea.

Thiazolidinediones: weight gain, risk of liver disease, anaemia risk, swelling of legs or ankles,

Meglitinides: weight gain, low blood sugar.

Avandia (Rosiglitazone), is a popular type of type 2 diabetes drug that has been on the market for over eight years.

Avandia unfortunately has a long list of side effects, including heart failure. Avandia can cause fluid retention, leading to heart problems and heart failure.

I have type 2 diabetes for the past 27 years. I switched to insulin therapy years before when I was diagnosed as having non-alcoholic cirrhosis. By using insulin pen, it is very easy to take the required dosage of insulin.

Sources:--

en.wikipedia.org/wiki/Glibe...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Glime...

medlineplus.gov/druginfo/me...

en.wikipedia.org/wiki/Metfo...

medlineplus.gov/druginfo/me...

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