Consider DPP-4 inhibitors like sitagliptin or saxagliptin. These medications help your body release more insulin when needed, improving blood sugar control. They’re often well-tolerated, but some experience mild side effects.
SGLT2 inhibitors, such as empagliflozin or dapagliflozin, are another option. They work by helping your kidneys remove excess sugar from your blood. These medications may also offer cardiovascular benefits. However, increased urination and urinary tract infections are potential side effects.
GLP-1 receptor agonists, including liraglutide or semaglutide, are a newer class of drugs that mimic a natural hormone, improving insulin release and reducing appetite. Weight loss is a common benefit, but nausea and gastrointestinal issues can occur.
Lifestyle changes are crucial. A balanced diet low in carbohydrates and refined sugars combined with regular, moderate exercise can significantly improve blood sugar control and may reduce or eliminate the need for medication. Consult your doctor or a registered dietitian for personalized advice.
TZDs, such as pioglitazone, increase insulin sensitivity. While effective, they can cause fluid retention and weight gain. Your physician needs to carefully assess your suitability for this medication.
Alpha-glucosidase inhibitors, such as acarbose, slow down carbohydrate digestion. They can help manage post-meal blood sugar spikes, but they might cause gastrointestinal discomfort.
The best alternative for you depends on your individual health profile, medical history, and other medications you are taking. Always discuss treatment options with your doctor to determine the safest and most effective approach.
