7 Causes for Altering Sort 2 Diabetes Treatment

7 Causes for Altering Sort 2 Diabetes Treatment

Discovering the appropriate sort 2 diabetes medicine to regulate your blood sugar could take a while. You may also want to regulate your medicine as your diabetes progresses or improves or as modifications happen in your life. Perceive why it’s possible you’ll want to alter drugs to discover a plan that works for you.

This text discusses seven causes you would possibly want to alter your diabetes medicine.

Speak to Your Healthcare Supplier

Don’t make any modifications to your drugs with out particular directions out of your healthcare supplier.

Blood Sugar Is Not Effectively Managed

In case your present medicine is not doing a very good job of controlling your blood sugar, you would possibly want a change. Your healthcare supplier will set targets to your blood sugar ranges, however basically, blood sugar must be between 80 and 130 milligrams of sugar to deciliters of blood (mg/dL) and fewer than 180 mg/dL two hours after consuming.

It is regular to have fluctuations in blood sugar ranges all through the day. Nonetheless, persistently low or excessive blood sugar ranges can signify that your medicine is now not working.

A blood sugar studying beneath 70 mg/dL is taken into account low. Signs of low blood sugar—referred to as hypoglycemia—can embrace:

  • Elevated coronary heart fee
  • Trembling
  • Dizziness
  • Starvation
  • Confusion
  • Temper swings
  • Sweating

Blood sugar ranges above 180 mg/dL are thought of excessive and might trigger hyperglycemia. Signs of this situation can embrace:

  • Elevated thirst
  • Frequent urination
  • Blurry imaginative and prescient
  • Headache
  • Weak point
  • Fatigue

Oral Mixture Remedy

Relatively than changing ineffective diabetes medicine with one other sort of drug, your healthcare supplier would possibly go for oral mixture remedy—including one other drug together with your present medicine. This has been discovered to be simpler than switching from one medicine to a different.

Facet Results Are Insupportable

Even when your diabetes medicine successfully controls your blood sugar ranges, some medicine can generally trigger insupportable unwanted side effects.

Widespread unwanted side effects of diabetes drugs embrace:

Different unwanted side effects can embrace:

  • Yeast infections
  • Urinary tract infections (UTI)
  • Elevated danger of coronary heart failure or coronary heart assault
  • Low sodium ranges
  • Blood strain modifications
  • Cough
  • Sore throat

Ingesting alcohol with sure diabetes drugs may cause nausea and/or vomiting.

Medicine for Reducing Blood Sugar

A wide range of drugs are used to decrease blood sugar. Examples embrace:

Your Way of life Modifications

Way of life modifications, reminiscent of incorporating common bodily exercise, are important to managing sort 2 diabetes. Nonetheless, train additionally decreases blood sugar ranges as muscular tissues decide up sugar out of your blood to make use of for power. Should you begin exercising frequently, your diabetes medicine would possibly have to be adjusted, particularly if the medicine helps to decrease your blood sugar.

At all times verify your blood sugar degree earlier than bodily exercise, as train may enhance your danger of hypoglycemia. Your healthcare supplier would possibly alter your medicine or advise you to eat a carbohydrate-heavy snack to assist stop your blood sugar from dropping too low throughout or after train.

Common bodily exercise may also result in weight reduction, which could require adjusting your diabetes drugs or dosage.

Being pregnant or Postpartum

Pregnant folks with diabetes normally have extra frequent than regular visits to their healthcare supplier. It is essential to correctly handle blood sugar ranges throughout being pregnant with sort 2 diabetes, which could require medicine modifications. Uncontrolled blood sugar throughout being pregnant can result in problems, reminiscent of:

  • Congenital disabilities
  • C-section (cesarean part) supply
  • Child grows additional giant
  • Hypertension (hypertension)
  • Preterm labor/beginning
  • Miscarriage
  • Stillbirth

New Treatment Is Accessible

In some circumstances, your healthcare supplier could determine to alter your sort 2 diabetes medicine when a brand new one turns into out there. Some latest diabetes medicine have been proven to produce other well being advantages aside from controlling blood sugar ranges.

For instance, sodium-glucose cotransporter-2 (SGLT2) inhibitors can support in weight reduction, decrease the chance of cardiovascular (coronary heart) illness, and decrease blood strain.

Examples embrace:

  • Steglatro (ertugliflozin)
  • Farxiga (dapagliflozin)
  • Jardiance (empagliflozin)
  • Invokana (canagliflozin)

Glucagon-like peptide-1 (GTP-1) receptor agonists may also support in weight reduction and decrease the chance of heart problems.

Examples embrace:

  • Victoza (liraglutide)
  • Ozempic (semaglutide)
  • Trulicity (dulaglutide)

What to Anticipate When Altering Sort 2 Diabetes Medicines

As with all medicine, it’s possible you’ll expertise unwanted side effects when beginning a brand new sort 2 diabetes drug. Some unwanted side effects—reminiscent of nausea—would possibly enhance with time. Speak to your healthcare supplier in case you are experiencing insupportable unwanted side effects of your medicine.

Interplay With Different Medicines

Typically your healthcare supplier will change your sort 2 diabetes medicine as a result of it interacts with one other medicine you might be already taking. For instance, beta-blockers, niacin, thiazides, and glucocorticoids, can have hostile unwanted side effects for folks with sort 2 diabetes, reminiscent of decreased sensitivity to insulin and elevated blood sugar ranges.

Diabetes drugs may also work together with natural dietary supplements, reminiscent of:

  • Ginseng
  • Aloe vera
  • Andrographis paniculata
  • Karela
  • Saint-John’s-wort
  • Lycium
  • Herbs that include glucosamines, isoflavones, or levocarnitine

Drug Interactions

Make sure to inform your healthcare supplier of all drugs and over-the-counter (OTC) dietary supplements, drugs, and different substances you are taking to assist keep away from sort 2 diabetes drug interactions.

You Are in Remission

Sort 2 diabetes is a situation that may be in remission (momentary restoration). Technically, this situation is not “cured” since blood sugar ranges can revert to unhealthy ranges and diabetes can return.

Folks with sort 2 diabetes are thought of to be in remission when blood sugar ranges are in a traditional vary, with out medicine, for not less than three months. Remission can happen from important life-style modifications, reminiscent of shedding pounds by means of wholesome life-style modifications.


There are numerous explanation why your healthcare supplier would possibly change your sort 2 diabetes medicine—it is not working effectively, your unwanted side effects are insupportable, it interacts with one other medicine you’re taking, or your life-style modifications considerably.

In case your blood sugar ranges are effectively managed, you would possibly want much less medicine, or none in any respect. Speak to your healthcare supplier earlier than making any modifications to your medicine.

A Phrase From Verywell

Holding blood sugar ranges in a wholesome vary is vital for avoiding critical problems that may happen with sort 2 diabetes. At all times observe your healthcare supplier’s directions when taking drugs. Contemplate making optimistic life-style modifications that may additionally enhance your situation.

Continuously Requested Questions

  • Can you are taking diabetes and coronary heart medicine collectively?

    Medicines for diabetes and different situations, reminiscent of coronary heart illness, are sometimes taken collectively. Nonetheless, there will be important drug interactions. Sure coronary heart drugs influence blood sugar ranges. Ensure your healthcare supplier is conscious of all your drugs to assist stop these points.

  • What ought to I do if metformin is not working for my diabetes?

    Speak to your healthcare supplier when you suspect your diabetes medicine is now not working. File your blood sugar readings and convey this info to your appointment to assist decide the subsequent steps in your therapy.

  • Can insurance coverage cease protecting diabetes medicine?

    Sadly, drugs are usually not at all times coated by insurance coverage. Should you face this drawback, speak to your healthcare supplier—different drugs is likely to be out there. You can even attraction your insurance coverage firm’s determination. Drug firms can generally present discounted pricing to make drugs extra inexpensive.

By Aubrey Bailey, PT, DPT, CHT

Aubrey Bailey is a bodily therapist and professor of anatomy and physiology with over a decade of expertise offering in-person and on-line schooling for medical personnel and most people, specializing within the areas of orthopedic harm, neurologic ailments, developmental issues, and wholesome residing.