Doctor insights on:
Diabetes Drug Medication
Rosilitazone: I have to have a special license to continue to give it from a central pharmacy. I have only 1 patient still taking it. ...Read more
Has the injectable diabetes drug, bydureon, (exenatide) been linked to shrinking vitreous or vitreous detachment? This happened to me after 5 months on this drug
Not aware of: Not aware of this occurring, however it is recommended to report this to the manufacturer as they track all possible side effects and would be more than willing to disclose any reactions they have documented on file. You can google the co. And I am sure find a toll free 1-800 "pharmacovigilence#.". ...Read more
Do you think metphormin will ever be used for humans for lack of memory? I under stand this is a diabetes drug. But I think this drug will eventually be used for other areas. What you think?
I have diabetes and irritable bowel syndrome. Is there a stomach sensitive diabetes drug for me? A drug that doesn't cause diarrhea.
A number of them:
putting it backwards metformin, glip1 agents (byetta. Victoza (liraglutide) etc), ddp4 (januvia, tradgenta etc), 1 glucosidase (precose etc) can all give diarhea. Welchol (bile acid resin binder) gives constipation. degree of GI intolerence varies enormously.
other classes have only rare GI issues. ...Read more
Antidiabetic drug should be taken before meal / between meal / after meal? What is ccorrect? Lot of confusin in it?
Help! Can any diabetes medications give a positive reading for benzodiazepam in a urine drug test?
Many diff. Options: That's a very broad question. If its type 2 diabetes then typically patients start with pills. There are a variety of pills out there. There are hormonal injections. Finally there are various types on insulin with differing properties. We choose which medications to use based on the severity of diabetes and other factors such as the patients weight, goals, health and cost of the medications. ...Read more
Categories: Hi categories of diabetes drugs include: insulins (multiple types with different properties), biguanides (metformin currently the only one), glitazones (pioglitazone & rosiglitazone), GLP-1 agonists (liraglutide & exenatide), DPP-4 inhibitors (sitagliptin, saxagliptin, linagliptin), SGLT-2 inhibitors (canagliflozin & dapagliflozin), sulfonylureas (glimepiride, glyburide, glipizide), AGIs, others ...Read more
Is there anyway to stay off diabetes drugs permanently? I've made serious changes to diet and exercise. What tests do I need now and ongoing?
Blood sugars: Commendable that u r actively working to improve your health. Losing 7-10% of your weight can reduce your risk. However, some people r genetically predisposed, and in general pancreas may weaken with age so u may need a me down the road if u have predm or dm now. Check fasting blood sugar once in a while to keep an eye on how u r doing. Best is fasting sugar <100. ...Read more
SGLT-2 Inhibitor: One of the newest diabetic medications on the market is the sglt-2 inhibitor, canagliflozin. It works by inhibiting the sglt-2 (sodium glucose transoporter) in the kidney. This allows the body to urinate more of the glucose out of the body. It can also help with weight loss and blood pressure. There is an increased risk of yeast infections (yeast loves the extra sugar in the urine!). ...Read more
TWO KIND OF ORAL DRU:
Type 2 diabetes is due to two defects
1 lack of Insulin production
2 Insulin resistancs
so there are drugs to increase Insulin production
1sulphnylureas-like glipizise, glimperide, glynase, Glyburide, stimulate pancreas to produce more insulin
2biguanides which help Insulin resistance metformin
3thiobenzodiones improve Insulin effectiveness.4acarbose, prandin, (repaglinide) starlix
6 insulin. ...Read more
False positive?: What are you looking for? No diabetic medicines will not cause a false positive ...Read more
Many options: It all depends on your risk factors, h/o heart trouble, stroke, neuropathy, retinopathy, kidney problems, weight but at the present time, we're very concerned about weight gain so the best combination for me is something that does not induce weight gain or better yet, can induce weight loss. Good combination is thus metformin + either victoza/byetta/bydureon or januvia/tradjenta/onglyza. ...Read more
Not known for sure.: Some evidence from medical studies suggests that patients who take this medication have higher rates of heart disease and heart failure. This evidence is by no means complete, but it has led to the fda to limit strictly how this medication is prescribed. If your doctor is willing to prescribe the medication and you are doing well with it, it can be continued after careful consideration. ...Read more
I am on a protocol drug new for diabetes and suddenly am getting terrible acid burps. Never had them in my life. Could this drug cause this.?
Possibly: Without knowing what the medication is - can't really know. Let the prescriber know. ...Read more
What can I do to decrease ceratinine from 2.23 to the normal level? And what about drugs of diabetes &hypertensive was contraindicated in this case?
Creatinine: Difficult to answer without more information with respect to time course, duration, causation etc. If chronic there is little you can do but get a nephrologist to see you, be educated on diet, avoidance of renal toxins (eg NSAID drugs)An individuals creatinine is largelya function of their muscle mass and GFR. ...Read more
Off label: Invokana (canagliflozin) is approved for use in Type 2 diabetes. Having said that, diabetologists are using the drug successfully in type 1 diabetes. The drug is currently undergoing clinical trials in patients with type 1 diabetes. When used in patients with T1DM, insulin doses can be reduced by approximately 20 %. Weight loss also occurs. ...Read more
Bad shape: Hi. That's some bad shape you're in. Most likely your cellulitis & osteomyelitis are in a foot. You need a wound clinic, wound debridement, longterm IV antibiotics, assure adequate arterial supply (may require revascularization), maybe hyperbaric oxygen, and really good, tight blood sugar control. I hope this can be healed and not require amputation; amputation is not the end of the world, however ...Read more
This a very broad question. There are several oral medications that are available.
Metformin and glimeperide are common first line drugs I use in my clinical practice. They have long term favourable safety data, very effective and economical.
More costly drugs like saxagliptan, sitagliptan do not offer any additional benefits. ...Read more
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