After a person has been diagnosed with
diabetes, his or her physician will recommend certain methods to cope
with the condition, including diet modification and exercise. The
physician will also prescribe a diabetes medication or medications
depending on the severity of the condition. These medications may
need to be adjusted based on the patient's response to treatment;
however, some of these drugs cause harmful
side effects that lead to severe consequences in some cases.
There are six types of oral medications
commonly used to treat diabetes. One group is sulfonylureas,
which is a classification of drug that stimulates the beta cells
located within the pancreas. This results in the pancreas producing
more insulin to combat blood glucose levels. Examples to this variety
include chlorpropamide, glyburide and glimepiride. The side effects
vary and are dependent upon the drug. For instance, glyburide may
result in hypoglycemia, blurred vision and nausea.
Another categorization of diabetes
medication is meglitinides. Meglitinides increase insulin
product by targeting the beta cells in the pancreas, as well.
Examples of this type of medication include nateglinide and
repaglinide. The side effects vary, but the more common ones are
diarrhea, cold-like symptoms and joint pain.
Alpha-glucosidase inhibitors
like meglitol and acarbose fall under this category. They act by
blocking the breakdown of starches, and in some cases, they slow the
digestion of some sugars, such as table sugar. This impediment on
digestion occurs in the intestines. These drugs are taken with the
first bite of every meal and slow down the elevation of blood sugar
levels after eating. Gastrointestinal problems like diarrhea and gas
are the most common side effects of these medicines.
DPP-4 inhibitors do not cause
hypoglycemia, although they may cause headaches or upper respiratory
infection symptoms. Drugs in this category like saxagliptin and
sitagliptin work by stopping GLP-1, a naturally occurring compound,
from breaking down. This permits GLP-1 to stay in the body and
continue to be active for longer periods of time. This prevents
glucose levels from dropping, since it is effective when glucose
levels are high.
Biguanides are a classification
of diabetes medication that prevents the liver from producing more
glucose than what is needed. Additionally, biguanides help the muscle
tissue to be more receptive to insulin, thus making insulin
absorption easier. These drugs can cause diarrhea and other side
effects that are generally mild.
The last diabetes medication type is
thiazolidinediones, which assist insulin in working better in
the fatty tissue and in the muscles. They reduce the amount of
glucose produced in the liver, too. They tend to cause mild side
effects, such as cold-like symptoms. However, the thiazolidinedione,
Actos may
cause bladder cancer. In fact, patients who take the drug in
large doses or for prolonged periods of time have an increased risk
for bladder cancer. Actos treats type II diabetes and has been linked
to numerous cases of bladder cancer. In fact, in some countries, the
drug has been banned or not prescribed to new patients. France is one
country that took action from these findings. They pulled the drug
from the market once they conducted their own study on the diabetes
medication.
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