A member asked:

Whats the best dpp-4 inhibitor alternative to glimepiride?

A doctor has provided 1 answer
Dr. David Geffner answered

Specializes in Endocrinology

Consult your plan: If you have normal renal function the preferred brand for your healthplan is the one to take - if you feel there is a need to change from a sulfonylurea to a dpp4i. Dpp4is have the same efficacy in lowering bs as glimeperide. Dpp4is have been implicated in increased pancreatitis and pancreatic and thyroid cancers. A better choice if you have good renal function is metformin.

Answered 7/5/2013

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