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A 33-year-old male asked:

I am type2 dm taking amaryl (glimepiride) 1mg once daily.i am 30 year old female.i am not getting good control with tablet can i use insulin? which is safe?

2 doctor answers5 doctors weighed in
Dr. Jeffrey Unger
A Verified Doctoranswered
42 years experience
Hard to say: You have many options for treatment. First of all, we need to know if you really have type 2 diabetes. Ask your dr to perform a GAD-antibody test. If positive, you probably have LADA, a form of autoimmune diabetes which will necessitate the use of insulin. Other options for you include GLP-1 receptor agonists (victoza) or an SGLT2 inhibitor (invokana). Ask what your A1C target is as well.GoodLuck!
Dr. Norma Jo Waxman
Family Medicine 34 years experience
Have you tried metformin? It is highly effective and often less expensive
Jul 6, 2014
Dr. Ayyaz Shah
Dermatology 28 years experience
DM: Type 2 DM is typically associated with Insulin Resistance. Most type 2 diabetics can do very well if they can stick to a good low carb diet and regular exercise which promotes weight loss and helps with Insulin resistance. Metformin may also be helpful for Insulin resistance in type 2 DM. if all of this has been tried, your doctor can make the decision regarding if Insulin needs to be started.
Last updated Jan 13, 2015


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