Diabeta (glyburide) is a good oral anti-diabetic medicine, but can cause hypoglycemia or low blood sugar.
Precose (acarbose) helps lower your post-mealtime blood sugar levels, but it must be taken at the beginning of each main meal in order for it to be most effective.
- Available as an oral tablet.
- Lowers your A1c (average blood sugar over time) up to 2%.
- Available in generic version.
- Available in single pill combination with other anti-diabetic medicines.
- Precose (acarbose) helps control meal-time blood sugar levels without causing weight gain.
- When used alone it doesn't normally cause blood sugar levels to be too low unlike other anti-diabetes medicines.
- Safe to be used in people age 65 or older.
- Has relatively few interactions with other medicines.
- More likely to cause hypoglycemia or low blood sugar than other types of oral anti-diabetics.
- You will have to check your blood sugar often when you first start taking it.
- Can cause weight gain (about 2 to 3 pounds).
- Not ideal for elderly or those with poor kidney function.
- May not work as well for those with severe diabetes and when pancreas cannot produce insulin.
- Not a first choice medicine because it isn't as effective at lowering blood sugar compared to other treatment options.
- Associated with bothersome side effects like excessive gas and diarrhea.
- Relatively more expensive than other diabetes medicines.
- Has to be taken three times a day with each meal.
- Might cause episodes of low blood sugar when taken together with insulin or medicines that stimulate insulin release.
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- Excessive gas74%
- Stomach pain19%
- Low blood sugar
Over age 65
...and 4 more risk factors
- Severe allergic reactions
History of sulfa allergies
- Low blood sugar
Using insulin or other medicines that stimulate insulin release
- Kidney function
Those with kidney problems
- Interactions with other medicines
Taking multiple medicines together