Doctor insights on:
Glyburide And Metformin
GLP -1 analogues: Janumex is a pill which combines januvia (sitagliptin) in addition to metformin so it combines two different ways glucose is lowered in your blood stream januvia (sitagliptin) lowers glucagon after eating and decreases blood glucose after eating and complements metformin which lowers mainly fastingsome adverse publicity around januvia (sitagliptin) related to pancreatitis the jury is still out. ...Read moreSee 1 more doctor answer
Diabetes: The four medications work in 4 different mechanisms with the end goal of keeping blood sugar under control. Would suggest taking Glimepiride in mornings, metformin & Byetta before meals & Lantus (insulin glargine) at bedtime. Goal fasting blood sugar of 100 & hba1c of 6.5 good luck. ...Read more
Yes: Hi. Metformin and sitagliptin work via different mechanisms, and together are synergistic. So yes, more effective than one drug alone. Note even the combination may not be adequate for achieving tight control. Your doctor will follow your A1c response, and if it's in the mid-low 6's, you're good to go. A nice thing is Janumet (sitagliptin and metformin) by itself cannot cause hypoglycemia. Good luck! ...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
Not many: Hi. Metformin can cause GI upset fairly common, but better if dose is slowly titrated upward); if used in kidney disease patients, it can cause a serious illness, lactic acidosis (very rare). Glibenclamide/glyburide can cause low blood sugar (rare) or rash (also rare); it is a very archaic diabetes drug. Good luck! ...Read more
Type2 diabetic. Metformin 500mg 2xday but stomach issues. Will victoza (liraglutide) lower a1c and help weight loss along as monotherapy so i can stop metformin?
My januvia appears undigested, in my stool. I take metformin, glipizide, victoza (liraglutide) and januvia. Is it pointless to take the januvia?
Yep: You bet you can.Get a more detailed answer ›
Hello. Is omega XL safe for diabetics taking insulin metformin glipizide Lipitor (atorvastatin) diazid tricor & bp meds, spiriva advair. ?
Exercise caution: you are already on multiple medications, some possibly interact together, you don't want to add more unless really needed, even if it is a supplement, fatty acids in omega fish oil might increase lipids in your system, this is not against any drug but rather for your own safety, please revise all your meds with your doctor on regular basis, good luck ...Read moreSee 1 more doctor answer
Can i continue with amaryl 2 mg and discontinue janumet (sitagliptin and metformin) as it gives me stomach discomfort?
Talk to your doctor: Tell your doctor about the stomach discomfort so that he/she can evaluate and prescribe a different regimen. You might want to break the janumet into januvia (sitagliptin) and metformin and eliminate one drug at a time to see which one is causing the discomfort. In any case. Don't stop meds without letting your doctor know about it. ...Read more
I have puffy ankles and rapid weight gain with Novolin (insulin) H, while taking Metformin. Is it possible to take only Novolin (insulin) R with the Metformin?
Weigh gain: Hi. Yes, it's certainly possible to use just R with metformin. Insulin is strongly associated with weight gain. Type 2 drugs that are NOT associated with weight gain, and are actually associated with weight loss include the GLP-1 agonist drugs (Victoza (liraglutide) & Byetta) and the SGLT-2 inhibitor drugs (Invokana & Farxiga). Metformin & the DPP-4 inhibitors are weight neutral. Good luck! ...Read moreSee 1 more doctor answer