Doctor insights on:
Glyburide Vs Glimepiride
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
Diabetes pill.: Diabeta is a brand of the medication glyburide. It is an effective treatment for type 2 diabetes. It is available as generic Glyburide (lower in cost). It may not be the safest of this class, known as sulfonylurea medications, however (concerns about hypoglycemia in patients with kidney disease and heart effects in patients with heart disease). ...Read more
Lowers blood sugar: Amaryl (glimepiride) stimulates the pancreas to release insulin, which will cause the blood sugar to fall. This release of Insulin occurs without relation to whether one has eaten, so if one goes a long period without eating, the blood sugar can become abnormally low. ...Read more
Rapid acting insulin: Like other Insulin analogs Humalog (insulin lispro) (lispro) is a rapid acting meal time insulin. It can be injected before or immediately after meal. It has a quick onset, short duration of action, less variation in absorption and decrease chances of low blood sugar (hypoglycemia) if use appropriately. Indicated for management of diabetes mellitus. Humalog (insulin lispro) is administered subcutaneously only. Can be use in pumps. ...Read more
No, but same class: Both are 2nd generation sulfonylurea drugs for treatment of Type 2 Diabetes. According to a review by the Utah gov't, they conclude: "Overall ranges of HbA1c reduction seen w/glimepiride, glipizide & glyburide treatment in current literature are similar & choice of antidiabetes therapy should be based on individual patient characteristics, including: efficacy, cost, (see below) ...Read moreSee 1 more doctor answer
Both biosynthetic : Novolog and Novolin R are both meal time insulins. Novolog can injected before or immediately after meals, while Novolin R must be at least 30 minutes before meals.Novolin n is as basal insulin. Novolog has a quickest onset, shortest duration of action, least absorption variability, and reduces chances of low blood sugar( hypoglycemia) if used right compared to Novolin R and n respectively. ...Read more
Different categories: Novolin is the brand name given to all human insulins made by novo nordisk. Under this brand are specific types of Insulin such as regular, nph, and 70/30. Novolog Insulin is a synthetic recombinant Insulin that is very rapid acting. I often get this question because NovoLog is more expensive than any of the novolins. However, they cannot be substituted for each other. ...Read more
No: Metformin is not known to be toxic to the kidneys. The concern may be when a patient has naturally kidney function and they take metformin. That person may then be at (rare, but still documented) risk of a condition called lactic acidosis - a potentially dangerous, body-wide build-up of lactic acid that interferes with the delivery with oxygen. ...Read moreSee 1 more doctor 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
Same family: Hi. Glyburide is a second generation sulfonylurea and glimepiride is a 3rd generation. They work at the same receptors on the beta cell (the pancreatic cells that make insulin) and stimulate insulin release. Glimepiride is preferable because of less metabolite build up in kidney disease, but they're VERY similar. I never use them. In my opinion, based on good science, we have much better drugs. ...Read more
Diabetes: Either glyburide or glimepiride can be prescribed for management of diabetes. There may be a cost difference in your favor or you doctor may have a good reason to prescribe one or the other. More important - you need to take control of your eating habits, your weight (if overweight), and your exercise. Also please remember to measure your blood sugar regularly. Your doctor will advise you on dose ...Read more
What are the differences between apidra (insulin glulisine) and novolog insulin? Which is better?
Insulin analogs: Hi. Novolog (aspart) and Apidra (insulin glulisine) (glulisine) are both engineered insulins not found in nature. The human insulin gene was modified to give the expressed insulin analog favorable properties for meal coverage for diabetics. To me they are indistinguishable, but Apidra (insulin glulisine) works a little faster in obese patients. They are both very good meal insulins. Goo luck, and keep your diabetes tightly controlled! ...Read more