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Sulfonylureas – as opposed to metformin, the thiazolidinediones, pramlintide and other newer treatments – may induce hypoglycemia as a result of excesses in insulin production and release. Hypoglycemia appears to happen more often with sulfonylureas than compared to other treatments. [ 17 ]
Combined metformin and sulfonylurea therapy did appear to lead to a higher risk of hypoglycemia. [213] Metformin is available combined with the sulfonylureas glipizide (Metaglip) and glibenclamide (US: glyburide) (Glucovance). Generic formulations of metformin/glipizide and metformin/glibenclamide are available (the latter is more popular). [214]
In one study, type 2 diabetes patients showed a “significant reduction” in a cardiovascular composite when treated with metformin compared to those treated with sulfonylurea, another popular ...
Glimepiride is an antidiabetic medication within the sulfonylurea class, primarily prescribed for the management of type 2 diabetes. [1] [2] It is regarded as a second-line option compared to metformin, due to metformin's well-established safety and efficacy. [1]
People on sulfonylureas, for example, may need to take a lower dose if they take metformin as the combo can increase the risk of hypoglycemia (low blood sugar). KucherAV/istockphoto
5. Metformin. Metformin — a biguanide — is an oral diabetes medication that helps keep blood sugar in check by causing the liver to produce less glucose. It was approved by the FDA in 1994 for ...
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