Type 2 diabetes medications include metformin (first-line), sulfonylureas (glipizide, glimepiride), DPP-4 inhibitors (sitagliptin), GLP-1 agonists (semaglutide), SGLT2 inhibitors (empagliflozin), and insulin.
Metformin reduces glucose production in the liver and improves insulin sensitivity. It is the most widely prescribed first-line medication for Type 2 diabetes and has an excellent safety record.
Medication works best alongside lifestyle changes including a healthy diet, regular exercise, and weight management. Many patients achieve good glucose control combining both approaches.
Monitoring frequency depends on your diabetes type and medication. People on insulin typically monitor multiple times daily; those on oral medications may check less often as advised by their doctor.
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Metformin commonly causes GI upset (nausea, diarrhoea), taking it with food minimises this. Sulfonylureas can cause hypoglycaemia. SGLT2 inhibitors (empagliflozin) can cause genital yeast infections and, rarely, diabetic ketoacidosis. Most side effects improve with dose adjustment.
Unopened insulin should be refrigerated (2–8°C) but not frozen. Once opened, most insulin pens can be kept at room temperature for up to 28 days. Oral diabetes tablets should be stored at room temperature away from moisture. Never leave insulin in direct sunlight or in a hot car.
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