Type 2 Non Insulin Therapies
If you have type 2 diabetes, and lifestyle changes are not enough to control your blood sugar, typically, your provider will first start you on a single medicine. For people who are overweight, metformin is usually the first medicine prescribed.
If the single therapy doesn’t work, additional medicines can be added. Many people require treatment with 2, 3 or more different medicines. If pill combinations don’t work, an injected medicine such as an incretin-based medicine, amylin analog or insulin may be prescribed. Medicine combinations are used because different drugs target different parts of your body’s sugar regulation system.
Rarely, and usually due to other medical conditions, it may be necessary to start medical treatment of type 2 diabetes with insulin therapy. Usually, however, insulin therapy is the last treatment prescribed and is added only after the oral medications or non-insulin injections don’t work.
In this section, you will learn about the non-insulin treatment options for glucose control in type 2 diabetes including the different medicines, how they work, doses, and side effects.
There are six types of non-insulin medicines used to treat type 2 diabetes:
- Metformin:
Pills that reduce sugar production from the liver - Thiazolidinediones (glitazones):
Pills that enhance sugar removal from the blood stream - Insulin releasing pills (secretagogues):
Pills that increase insulin release from the pancreas - Starch blockers:
Pills that slow starch (sugar) absorption from the gut - Incretin based therapies:
Pills and injections that reduce sugar production in the liver and slow the absorption of food - Amylin analogs:
Injections that reduce sugar production in the liver and slow the absorption of food
In this section, you also can review:
- A Table of Non-Insulin Medications: A summary of all the oral medications and non insulin injected therapies including the common doses and side effects.