From Gujarat, India:
I have a patient who has had type 2 diabetes for four years. He is taking one glibenclamide, 5 mg, twice daily; one glimepride 2 mg, twice daily; one pioglitazone 30 mg, twice daily; and one metformin, 1000 mg, twice daily. His postprandial blood sugar averages 310 mg/dl [17.2 mmol/L]. He is not willing to take insulin. Is there another combination of pills he can take?
This patient has very high post-meal blood sugars and requires insulin for adequate treatment. They are already being treated with all the major oral agents. There is really no additional medication to turn to that will help. The new medication, exenatide, is recommended for those who fail sulfonylurea and metformin. This might be a consideration. However, it also requires subcutaneous injections twice a day. It would have the advantage of improving the post-meal insulin response.
Last Updated: Tuesday April 06, 2010 15:10:04
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.