Fefe12

Q:

I'm curious to find out about BS meds. I no longer use insulin but take glipizide and Januvia. Since I've had a history with pancreatitis my other doctor is not comfortable with me taking Januvia. So I'm wondering what I can take instead. I can't take metformin, it makes me sick. How do you know what's good out there?

Patty Bonsignore

A:

The best way to know which medicines are “good” is to make an appointment with an endocrinologist and ask about what types of medicines are available to treat type 2 diabetes. Endocrinologists specialize in treating diabetes and will know about the newest medicines. DPP4 inhibitors (of which Januvia is one) and GLP1 agonists are not good options for you because of your history of pancreatitis. You also state you had trouble in the past tolerating metformin and are already taking a sulfonylurea. There are three other classes of diabetes medicines that may be helpful; insulin, TZDs and SGLT-2 inhibitors. Ask your doctor about these medicines to see if any of them are an option for you.

October 31, 2013 at 12:23 am