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March 12, 2006

Pills for Diabetes, Type 2

Question from India:

I am family physician. Here, in India, when we diagnose someone with type 2 diabetes, we give them a sulfonylurea-biguanide combination. Usually, this combination is given before a meal. However, I have had patients take it after meals and seen good results. Should the medication be taken before or after meals?


I have usually given the medication with meals. That is also how it is recommended to take the metformin. It is probably not a huge problem, unless someone has some gastrointestinal effects while taking the medication where taking it with meals may help them.