Doctor insights on:
Amaryl Second Generation Sulfonylurea
What is the best alternative medication to sulfonylurea for type 2 diabetics to prevent weight gain in combination with metformin?
Sulfonylurea.: That seems like a lot of sulfonylurea type medication - Glimepiride and Glyburide. The reason why that's important is that they can cause hypoglycemia (low blood sugar) which can be dangerous. I'd like to see you on more Metformin and less sulfonylurea to reduce your risk of hypoglycemia. ...Read more
Amaryl effect/time: Amaryl works by stimulating beta cells in pancreas to produce insulin.It should start working right away as it gets absorped, if after two weeks you dont see its effect on blood sugar, than you will need to increase the dose gradually to the maximum dose , to see the ful effect.Often you have to use another drug with it like metformin or actose. ...Read more
Why?: There might be more details in the question that i'm missing but don't stop any meds without talking to your prescribing physician first. ...Read more
I am type2 DM taking amaryl 1mg once daily.i am 30 year old female.i am not getting good control with tablet can I use insulin? Which is safe?
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. ...Read moreSee 1 more doctor answer
I use 4 mg amaryl morn and night, added 100 mg invokana, sugar 150-165 at night, can I increase either drug, 61 yr male, 189 lbs, a runner.
Yes: Invokana can be increased up to 300mg/day in patients that tolerate the drug. It appears that you are already at the max daily dose of amaryl, and likely wouldn't add an additional benefit to increase the dose. You should talk with your doctor before increasing any drug. ...Read moreSee 1 more doctor answer
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