Home › Chronic disease › Diabetes management
Reviewed by Dr. Aarav Patel, MD, PhD — Endocrinology Specialist. Updated May 2025.
People with diabetes worldwide
Have Type 2 diabetes
Metformin from (per pack)
Drug classes available
Type 2 diabetes is primarily managed through lifestyle changes and oral medications. The choice of medication depends on your HbA1c levels, kidney function, weight, and other health conditions. Most treatment guidelines recommend metformin as first-line therapy unless there are contraindications.
Reduces glucose production in the liver. Well-tolerated, affordable, decades of safety data.
Glimepiride, glipizide. Stimulate insulin secretion. Used when metformin alone is insufficient.
Sitagliptin, saxagliptin. Incretin-based therapy. Weight-neutral, good tolerability.
Dapagliflozin, empagliflozin. Kidney protection benefit. Growing evidence for heart failure.
/our-pharmacists/aarav-patel/ — Reviewed May 2025
Metformin remains the cornerstone of Type 2 diabetes management and is typically the first medication we recommend. If your HbA1c remains above target on metformin alone, adding a DPP-4 inhibitor or SGLT2 inhibitor is well-supported by current guidelines. Always monitor blood glucose when starting or changing diabetes medications.
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This website does not provide medical advice. Content is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your physician before starting or switching medication.
