Prescription onlyNo lower cost generic available

Levemir Alternatives

(Insulin Detemir)

Prescription onlyNo lower cost generic available
  • Injection
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Compare Levemir (Insulin Detemir) to alternatives

These medications are comparable to Levemir (Insulin Detemir) or used for similar purposes.

Levemir
(Insulin Detemir)

Humalog
(Insulin Lispro)

Glucophage
(Metformin)

Novolog
(Insulin Aspart)

Januvia
(Sitagliptin)

Actos
(Pioglitazone)

Humulin
(Human Insulin)

Glucotrol
(Glipizide)

Apidra
(Insulin Glulisine)

Lantus
(Insulin Glargine)

Janumet
(Sitagliptin / Metformin)

Diabeta
(Glyburide)

Lowers blood sugar. Levemir is a long-acting insulin that provides all-day sugar control. It can cause low blood sugar, so make sure you know what the symptoms are and always have a source of sugar nearby.Lowers blood sugar. Humalog is a fast-acting insulin that provides meal-time sugar control. It can cause low blood sugar, so make sure you know what the symptoms are and always have a source of sugar nearby.Lowers blood sugar. Glucophage (Metformin) is a very effective medicine to lower blood sugar and the risk of complications and death from diabetes, but it's likely to cause diarrhea for the first few weeks.Lowers blood sugar. Novolog is a fast-acting insulin that provides meal-time sugar control. It can cause low blood sugar, so make sure you know what the symptoms are and always have a source of sugar nearby.Lowers blood sugar. Januvia (Sitagliptin) is a good add-on treatment if your blood sugar is still too high, but you don't want to use an injectable medicine.Lowers blood sugar. Actos (Pioglitazone) is a last-choice blood sugar-lowering medicine since it's only moderately effective but has a lot of undesirable side effects.Lowers blood sugar. This form of insulin is one of the few medications in its class that you can get without a prescription, but it's expensive.Lowers blood sugar. Glucotrol (Glipizide) is a very effective oral blood sugar-lowering medicine. It can cause low blood sugar, so make sure you know what the symptoms are and always have a source of sugar nearby.Coming soon.Lowers blood sugar. Lantus (Insulin Glargine) is a long-acting insulin that provides all-day sugar control. It can cause low blood sugar, so make sure you know what the symptoms are and always have a source of sugar nearby.Lowers blood sugar. Janumet is an expensive but very effective combination of oral blood sugar-lowering medicines.Lowers blood sugar. Glyburide is a very effective oral blood sugar-lowering medicine, but has more side effects and restrictions compared to other medicines in this class (sulfonylureas).
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Reviews & ratings
Filter group. All currently selected
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4.372093023255814Levemir
Reviews for Levemir (Insulin Detemir)
44%
of people (All ages) say Levemir (Insulin Detemir) is worth it
35%
say it works well
22%
say it's a big hassle
129 reviews
Have you used Levemir (Insulin Detemir)?
Worth itNot sureNot worth it
Reviews for Humalog (Insulin Lispro)
64%
+20% vs. Levemir (Insulin Detemir)
49%
+14% vs. Levemir (Insulin Detemir)
16%
+6% vs. Levemir (Insulin Detemir)
279 reviews
Have you used Humalog (Insulin Lispro)?
Worth itNot sureNot worth it
Reviews for Glucophage (Metformin)
65%
+21% vs. Levemir (Insulin Detemir)
46%
+11% vs. Levemir (Insulin Detemir)
16%
+6% vs. Levemir (Insulin Detemir)
929 reviews
Have you used Glucophage (Metformin)?
Worth itNot sureNot worth it
Reviews for Novolog (Insulin Aspart)
58%
+14% vs. Levemir (Insulin Detemir)
46%
+11% vs. Levemir (Insulin Detemir)
18%
+4% vs. Levemir (Insulin Detemir)
174 reviews
Have you used Novolog (Insulin Aspart)?
Worth itNot sureNot worth it
Reviews for Januvia (Sitagliptin)
43%
1% vs. Levemir (Insulin Detemir)
34%
1% vs. Levemir (Insulin Detemir)
17%
+5% vs. Levemir (Insulin Detemir)
138 reviews
Have you used Januvia (Sitagliptin)?
Worth itNot sureNot worth it
Reviews for Actos (Pioglitazone)
42%
2% vs. Levemir (Insulin Detemir)
31%
4% vs. Levemir (Insulin Detemir)
21%
+1% vs. Levemir (Insulin Detemir)
173 reviews
Have you used Actos (Pioglitazone)?
Worth itNot sureNot worth it
Reviews for Humulin (Human Insulin)
67%
+23% vs. Levemir (Insulin Detemir)
46%
+11% vs. Levemir (Insulin Detemir)
11%
+11% vs. Levemir (Insulin Detemir)
Have you used Humulin (Human Insulin)?
Worth itNot sureNot worth it
Reviews for Glucotrol (Glipizide)
50%
+6% vs. Levemir (Insulin Detemir)
32%
3% vs. Levemir (Insulin Detemir)
19%
+3% vs. Levemir (Insulin Detemir)
330 reviews
Have you used Glucotrol (Glipizide)?
Worth itNot sureNot worth it

Not enough reviews for this drug. Help someone out, leave a review!

Have you used Apidra (Insulin Glulisine)?
Worth itNot sureNot worth it
Reviews for Lantus (Insulin Glargine)
67%
+23% vs. Levemir (Insulin Detemir)
51%
+16% vs. Levemir (Insulin Detemir)
14%
+8% vs. Levemir (Insulin Detemir)
581 reviews
Have you used Lantus (Insulin Glargine)?
Worth itNot sureNot worth it
Reviews for Janumet (Sitagliptin / Metformin)
44%
Same vs. Levemir (Insulin Detemir)
36%
+1% vs. Levemir (Insulin Detemir)
16%
+6% vs. Levemir (Insulin Detemir)
Have you used Janumet (Sitagliptin / Metformin)?
Worth itNot sureNot worth it
Reviews for Diabeta (Glyburide)
46%
+2% vs. Levemir (Insulin Detemir)
33%
2% vs. Levemir (Insulin Detemir)
20%
+2% vs. Levemir (Insulin Detemir)
109 reviews
Have you used Diabeta (Glyburide)?
Worth itNot sureNot worth it
Side effects
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide

The Levemir FDA package insert doesn’t have numbers about how common side effects are.

More about Levemir side effects »

The Humalog FDA package insert doesn’t have numbers about how common side effects are.

More about Humalog side effects »
  • Diarrhea 41%
  • Nausea/vomiting 18%
  • Passing gas 6%
  • Indigestion 3%
  • Muscle weakness 3%
  • Abdominal discomfort 1%
  • Headache 1%
More Metformin side effects »

The Novolog FDA package insert doesn’t have numbers about how common side effects are.

More about Novolog side effects »
  • Common cold 2%
  • Diarrhea 1%
More Januvia side effects »
  • Swelling due to excess fluid 11%
  • Low blood sugar 8%
  • Ear, nose, or throat infection 4%
  • Sore throat 4%
  • Cardiac failure 2%
  • Muscle pain 2%
  • Headache 2%
  • Back pain 1%
  • Sinus inflammation 1%
More Actos side effects »

The Human Insulin FDA package insert doesn’t have numbers about how common side effects are.

More about Human Insulin side effects »
  • Passing gas 2%
  • Dizziness 1%
  • Nervousness 1%
More Glucotrol side effects »

We haven’t found good data for Apidra side effects.

FDA side effect reports for Apidra »

The Lantus FDA package insert doesn’t have numbers about how common side effects are.

More about Lantus side effects »
  • Diarrhea 4%
  • Nausea 4%
  • Headache 3%
  • Abdominal pain 1%
  • Ear, nose, or throat infection 1%
More Janumet side effects »

The Glyburide FDA package insert doesn’t have numbers about how common side effects are.

More about Glyburide side effects »
How it works
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
Levemir is a long-acting insulin medicine for diabetes. It acts like the insulin that your body normally makes to process sugars and fats, and it keeps your blood sugar stable throughout the day.Humalog is a short-acting insulin medicine for diabetes. It acts like the insulin that your body normally makes to process sugars and fats, and it keeps your blood sugar stable after meals.Glucophage (Metformin) is an anti-diabetic drug. It lowers sugar production in your body, decreases sugar absorption in your intestines, and makes your body more sensitive to insulin.Novolog is a short-acting insulin medicine for diabetes. It acts like the insulin that your body normally makes to process sugars and fats, and it keeps your blood sugar stable after meals.Januvia (Sitagliptin) is an anti-diabetic drug. It helps your body release more insulin in order to lower blood sugar.Actos (Pioglitazone) is an anti-diabetic drug. It improves your body's ability to use insulin to lower your blood sugar.Insulin is a hormone normally produced by your pancreas. It helps your body absorb and store sugar and fat from your bloodstream.Glucotrol (Glipizide) is an anti-diabetic drug. It stimulates your body to make more insulin to lower blood sugar.Coming soon.Lantus (Insulin Glargine) is a long-acting insulin medicine for diabetes. It acts like the insulin that your body normally makes to process sugars and fats, and it keeps your blood sugar stable throughout the day.Janumet is an antidiabetic combination medicine. Metformin lowers the amount of sugar your body produces, and sitagliptin helps your body release more insulin.Glyburide is an anti-diabetic drug. It stimulates your body to make more insulin to lower blood sugar.
Type of medication
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
Anti-diabetic
Insulin
Prescription only
Anti-diabetic
Insulin
Prescription only
Anti-diabetic
Biguanide
Prescription only
Anti-diabetic
Insulin
Prescription only
Anti-diabetic
DPP-4 inhibitor
Prescription only
Anti-diabetic
Thiazoladinedione
Prescription only
Anti-diabetic
Insulin
Prescription only
Anti-diabetic
Sulfonylurea
Prescription only
Coming soon.
Anti-diabetic
Insulin
Prescription only
Anti-diabetic
DPP-4 inhibitor
Biguanide
Prescription only
Anti-diabetic
Sulfonylurea
Prescription only
Available as
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
  • Injection
  • Injection
  • Pill
  • Extended release
  • Liquid
  • Injection
  • Pill
  • Pill
  • Injection
  • Inhaler
  • Pill
  • Extended release
  • Injection
  • Injection
  • Pill
  • Extended release
  • Pill
Used for (click to learn more)
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
  • Diabetes mellitus type 1 Diabetes mellitus type 2
Risk factors for serious side effects
LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
  • Insulin dose too high
  • Use of other blood sugar lowering medicines
  • Poor injection techniques
  • Unstable kidney functions
  • Unstable liver functions
  • Use of other medicine that lowers potassium
  • Current electrolyte imbalance
    Detailed Levemir (Insulin Detemir) risks & warnings »
    • Insulin dose too high
    • Use of other blood sugar lowering medicines
    • Poor injection techniques
    • Unstable kidney functions
    • Unstable liver functions
    • Use of other medicine that lowers potassium
    • Current electrolyte imbalance
      Detailed Humalog (Insulin Lispro) risks & warnings »
      • Kidney problems
      • Liver problems
      • Congestive heart failure
      • Using contrast dye for procedures
      • Surgery
      • Alcohol use
        Detailed Glucophage (Metformin) risks & warnings »
        • Insulin dose too high
        • Use of other blood sugar lowering medicines
        • Poor injection techniques
        • Unstable kidney functions
        • Unstable liver functions
        • Use of other medicine that lowers potassium
        • Current electrolyte imbalance
          Detailed Novolog (Insulin Aspart) risks & warnings »
              Detailed Januvia (Sitagliptin) risks & warnings »
              • Heart failure diagnosis
                • Current liver problems
                  • Female
                  Detailed Actos (Pioglitazone) risks & warnings »
                        Detailed Humulin (Human Insulin) risks & warnings »
                          • Use of other blood sugar lowering medicines
                          • Alcohol
                          • Intense physical activity
                          • History of sulfa allergies
                          Detailed Glucotrol (Glipizide) risks & warnings »
                          Coming soon.
                          • Insulin dose too high
                          • Use of other blood sugar lowering medicines
                          • Poor injection techniques
                          • Unstable kidney functions
                          • Unstable liver functions
                          • Use of other medicine that lowers potassium
                          • Current electrolyte imbalance
                            Detailed Lantus (Insulin Glargine) risks & warnings »
                            • Kidney problems
                            • Liver problems
                            • Congestive heart failure
                            • Contrast dye for procedure
                            • Surgery
                            • Alcohol use
                                  Detailed Janumet (Sitagliptin / Metformin) risks & warnings »
                                    • Elderly
                                    • Use of other blood sugar lowering medicines
                                    • Alcohol
                                    • Intense physical activity
                                    • History of sulfa allergies
                                    Detailed Diabeta (Glyburide) risks & warnings »
                                    Pregnancy

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                    Research studies with animals haven’t found a risk to unborn babies, but it hasn’t been properly studied in humans.

                                    Research studies with animals found harmful effects on unborn babies. It hasn’t been properly studied in humans. The benefits might outweigh the risks even if you’re pregnant. Talk with your doctor.

                                    Alcohol
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.
                                    • Avoid drinking alcohol.
                                    No alcohol related info.No alcohol related info.No alcohol related info.
                                    • Avoid drinking alcohol.
                                    Food
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    No food related info.
                                    • Short-acting insulin good for blood sugar control around meal times.
                                    • Always take it with food or switch to the extended release version to avoid upset stomach.
                                    • Novolog is a fast-acting insulin that provides sugar control after meals.
                                    • Short-acting insulin good for blood sugar control around meal times.
                                    No food related info.No food related info.No food related info.
                                    • Food can cause unpredictable effects of the immediate-release version of Glipizide, so you have to take it at least 30 minutes before a meal.
                                    • Eat regular, balanced meals to avoid low blood sugar.
                                    No food related info.No food related info.
                                    • Take it with food to avoid upset stomach with diarrhea, nausea, and vomiting.
                                    • Eat regular, balanced meals to avoid low blood sugar.
                                    Kidneys and liver
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • People with poor kidney function can't use it.
                                    • Glucophage (Metformin) can cause this rare but life-threatening condition. Symptoms include deep and rapid breathing, nausea, vomiting, and stomach pain. This is a medical emergency and you should get help right away. Baseline blood work for kidney and liver function are helpful to see if you can use Glucophage (Metformin). It may not be a good choice for people with kidney problems. Glucophage (Metformin) should be stopped 48 hours before and/or after surgery or any imaging procedure needing contrast dye.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    No kidneys and liver related info.No kidneys and liver related info.No kidneys and liver related info.
                                    • Might be a better choice for people with kidney problems compared to similar drugs because Glipizide isn't processed by the kidneys.
                                    No kidneys and liver related info.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • People with poor kidney function can't use it.
                                    • Janumet (Sitagliptin / Metformin) can cause this rare but life-threatening condition. Symptoms include deep and rapid breathing, nausea, vomiting, and stomach pain. This is a medical emergency and you should get help right away. Baseline blood work for kidney and liver function are helpful to see if you can use Janumet (Sitagliptin / Metformin). It may not be a good choice for people with kidney problems. Janumet (Sitagliptin / Metformin) should be stopped 48 hours before and/or after surgery or any imaging procedure needing contrast dye.
                                    • Not a good choice for people with kidney problems because it's processed by the kidneys.
                                    Weight
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Can cause weight gain and low blood sugar.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Can cause weight gain and low blood sugar.
                                    • Unlike some diabetes medicines, doesn't cause weight gain or low blood sugar.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Can cause weight gain and low blood sugar.
                                    • Unlike some diabetes medicines, it's unlikely to cause weight gain and low blood sugar.
                                    • More likely to cause weight gain (2 to 6 pounds or more) compared to other blood sugar-lowering medicines.
                                    • Can cause weight gain, headache, and fluid retention.
                                    • People on Humulin (Human Insulin) can experience weight gain. Talk to your doctor or dietitian about changing your diet if this bothers you.
                                    • Can cause mild weight gain (2 to 3 pounds).
                                    • Can cause weight gain, dizziness, or stomach upset.
                                    No weight related info.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Can cause weight gain and low blood sugar.
                                    • Doesn't cause weight gain or low blood sugar.
                                    • Can cause mild weight gain (2 to 3 pounds).
                                    • Can cause weight gain, dizziness, or stomach upset.
                                    Upsides and benefits
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    • Levemir is a long-lasting insulin that provides consistent, all-day sugar control with less risk of low blood sugar.
                                    • Insulin is the most effective blood sugar-lowering medicine. When used correctly, it'll lower blood sugar every time you use it and prevent the harmful effects of high sugar levels on your organs and blood vessels.
                                    • Dose can be easily adjusted to make a customized regimen that's tailored to your body.
                                    • Starting insulin early in the treatment of Type 2 diabetes can maintain your body's insulin-producing cells and slow down disease progression.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • Humalog is a fast-acting insulin that provides sugar control after meals.
                                    • Insulin is the most effective blood sugar-lowering medicine. When used correctly, it'll lower blood sugar every time you use it and prevent the harmful effects of high sugar levels on your organs and blood vessels.
                                    • Dose can be easily adjusted to make a customized regimen that's tailored to your body.
                                    • Starting insulin early in the treatment of Type 2 diabetes can maintain your body's insulin-producing cells and slow down disease progression.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • A common first treatment for people with newly-diagnosed Type 2 diabetes.
                                    • The only oral diabetes medicine that lowers complications and deaths from conditions related to diabetes.
                                    • Also lowers certain lipid (fat and cholesterol) levels.
                                    • Oral blood sugar-lowering medicine.
                                    • Lowers A1c levels by 1-2%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • Unlike some diabetes medicines, doesn't cause weight gain or low blood sugar.
                                    • You don't have to check your blood sugar every day with this medicine.
                                    • One of the least expensive diabetes medicines.
                                    • Novolog is a fast-acting insulin that provides sugar control after meals.
                                    • Insulin is the most effective blood sugar-lowering medicine. When used correctly, it'll lower blood sugar every time you use it and prevent the harmful effects of high sugar levels on your organs and blood vessels.
                                    • Dose can be easily adjusted to make a customized regimen that's tailored to your body.
                                    • Starting insulin early in the treatment of Type 2 diabetes can maintain your body's insulin-producing cells and slow down disease progression.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • Lowers A1c levels by 0.5-0.8%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • Uses the hormones naturally produced by your body to affect how sugar is processed.
                                    • Oral blood sugar-lowering medicine.
                                    • Unlike some diabetes medicines, it's unlikely to cause weight gain and low blood sugar.
                                    • You don't have to check your blood sugar every day with this medicine.
                                    • Lowers A1c levels by around 1%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • Rarely causes low blood sugar.
                                    • Oral blood sugar-lowering medicine.
                                    • Some types of this medication are available without a prescription.
                                    • Available as a shot to be injected into the fatty part of the skin, and as a powder to be inhaled through your nose.
                                    • Available in different combinations so that you can do one shot or multiple shots a day.
                                    • Might be a better choice for people with kidney problems compared to similar drugs because Glipizide isn't processed by the kidneys.
                                    • Oral blood sugar-lowering medicine.
                                    • Lowers A1c levels by 1-2%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • One of the least expensive diabetes medicines.
                                    Coming soon
                                    • Lantus is a long-lasting insulin that provides consistent, all-day sugar control with less risk of low blood sugar.
                                    • Insulin is the most effective blood sugar-lowering medicine. When used correctly, it'll lower blood sugar every time you use it and prevent the harmful effects of high sugar levels on your organs and blood vessels.
                                    • Dose can be easily adjusted to make a customized regimen that's tailored to your body.
                                    • Starting insulin early in the treatment of Type 2 diabetes can maintain your body's insulin-producing cells and slow down disease progression.
                                    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
                                    • 2-in-1 combination medicine. If you need more than one blood sugar medicine, this lowers the number of pills you have to take.
                                    • Lowers A1c levels by 1-2.5%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • Doesn't cause weight gain or low blood sugar.
                                    • You don't have to check your blood sugar every day with this medicine.
                                    • Oral blood sugar-lowering medicine.
                                    • Lowers A1c levels by 1-2%. (Hemoglobin A1c measures your average blood sugar over time.)
                                    • One of the least expensive diabetes medicines.
                                    Downsides and risks
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    • You have to take insulin by injection.
                                    • You have to check your blood sugar every day.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Higher risk of low blood sugar episodes than other kinds of diabetes medicines.
                                    • You have to take insulin by injection.
                                    • You have to check your blood sugar multiple times every day, usually before each meal.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Higher risk of low blood sugar episodes than other kinds of diabetes medicines.
                                    • Most people will have nausea, indigestion, or diarrhea in the first few weeks. You can minimize this if you take it on a full stomach.
                                    • Only works if your body can still make your own insulin, a hormone that tells your body what to do with sugar, protein, and fat.
                                    • People with poor kidney function can't use it.
                                    • You have to take insulin by injection.
                                    • You have to check your blood sugar multiple times every day, usually before each meal.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Higher risk of low blood sugar episodes than other kinds of diabetes medicines.
                                    • Not as strong as other diabetes medicines. Your doctor might add it to your blood sugar-lowering regimen if your sugar levels are still too high.
                                    • Some people might get frequent throat infections or nasal congestion.
                                    • Likely expensive since there's no generic version available.
                                    • May take several weeks to lower blood sugar.
                                    • You have to check your blood sugar regularly with this medicine.
                                    • Has more side effects than similar medicines, so it's usually not the first choice for new Type 2 diabetes patients.
                                    • More likely to cause weight gain (2 to 6 pounds or more) compared to other blood sugar-lowering medicines.
                                    • Up to 1 in 10 people might get fluid retention (edema), ranging from mild ankle swelling to severe swelling in the lungs that makes it hard to breathe. People with severe congestive heart failure shouldn't use Actos.
                                    • Raises the risk of bone fractures, especially for people who already have a risk for fractures.
                                    • Slightly raises the risk of bladder cancer.
                                    • Has to be taken exactly as directed or it can cause high or low blood sugar.
                                    • As with all insulins, you have to work with your doctor closely to make sure you're giving yourself the correct dose, or you can have low or high blood sugar.
                                    • Food can cause unpredictable effects of the immediate-release version of Glipizide, so you have to take it at least 30 minutes before a meal.
                                    • Higher risk of low blood sugar episodes than other kinds of oral diabetes medicines.
                                    • You have to check your blood sugar 2 to 5 times a week (less often once you are on a stable dose).
                                    • Can cause mild weight gain (2 to 3 pounds).
                                    • Loses effectiveness over time or as your body stops making insulin.
                                    Coming soon
                                    • You have to take insulin by injection.
                                    • You have to check your blood sugar every day.
                                    • Likely to cause moderate weight gain (around 4 to 6 pounds).
                                    • Higher risk of low blood sugar episodes than other kinds of diabetes medicines.
                                    • The metformin part of Janumet can cause nausea, indigestion, or diarrhea for most people in the first few weeks.
                                    • The sitagliptin part of Janumet can cause some people to have frequent throat infections or nasal congestion.
                                    • Might raise the risk of problems with your pancreas.
                                    • Likely expensive since there's no generic version available.
                                    • People with poor kidney function can't use it.
                                    • Not preferred for people 65 years or older since it can cause prolonged low blood sugar (more than 12 hours).
                                    • Not a good choice for people with kidney problems because it's processed by the kidneys.
                                    • Higher risk of low blood sugar episodes than other kinds of oral diabetes medicines.
                                    • You have to check your blood sugar 2 to 5 times a week (less often once you are on a stable dose).
                                    • Can cause mild weight gain (2 to 3 pounds).
                                    • Loses effectiveness over time or as your body stops making insulin.
                                    Tips from our pharmacists for people taking the medication
                                    LevemirHumalogMetforminNovologJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetGlyburide
                                    • Long-acting insulin good for baseline blood sugar control.
                                    • Works in 1 hour and lasts about 24 hours.
                                    • Can cause weight gain and low blood sugar.
                                    • Make sure you and your family know the symptoms of low blood sugar: sweating, shakiness, weakness, fast heartbeat, nervousness, headache, blurry vision, trouble thinking clearly, or passing out.
                                    • Always have a good source of sugar nearby for low blood sugar episodes.
                                    • Take it at the same time every day.
                                    • Make sure you understand how to give yourself the injections.
                                    • Don't shake the vial or mix with another insulin. Store unopened vials in the refrigerator. Opened vials are good at room temperature for 28 days.
                                    • Check your blood sugar levels every day.
                                    • Short-acting insulin good for blood sugar control around meal times.
                                    • Take 5 to 10 minutes before a meal. Effects last for 2-4 hours.
                                    • Can cause weight gain and low blood sugar.
                                    • Make sure you and your family know the symptoms of low blood sugar: sweating, shakiness, weakness, fast heartbeat, nervousness, headache, blurry vision, trouble thinking clearly, or passing out.
                                    • Always have a good source of sugar nearby for low blood sugar episodes.
                                    • Make sure you understand how to give yourself the injections.
                                    • When mixing with another insulin (such as insulin NPH), draw this insulin into the syringe first.
                                    • Don't shake the vial. Store unopened vials in the refrigerator. Opened vials are good at room temperature for 28 days.
                                    • Check your blood sugar levels every day.
                                    • Can cause upset stomach with nausea and especially diarrhea in the first couple of weeks.
                                    • Always take it with food or switch to the extended release version to avoid upset stomach.
                                    • Tell your doctor about any deep or rapid breathing, or persistent nausea, vomiting, and stomach pain.
                                    • Short-acting insulin good for blood sugar control around meal times.
                                    • Take 5 to 10 minutes before a meal. Effects last for 2-4 hours.
                                    • Can cause weight gain and low blood sugar.
                                    • Make sure you and your family know the symptoms of low blood sugar: sweating, shakiness, weakness, fast heartbeat, nervousness, headache, blurry vision, trouble thinking clearly, or passing out.
                                    • Always have a good source of sugar nearby for low blood sugar episodes.
                                    • Make sure you understand how to give yourself the injections.
                                    • When mixing with another insulin (such as insulin NPH), draw this insulin into the syringe first.
                                    • Don't shake the vial. Store unopened vials in the refrigerator. Opened vials are good at room temperature for 28 days.
                                    • Check your blood sugar levels every day.
                                    • Can cause headache and cold-like symptoms.
                                    • Tell your doctor about persistent stomach pain, nausea, vomiting, or loss of appetite.
                                    • Can be expensive depending on insurance coverage.
                                    • Takes several weeks to see full effect on blood sugar control.
                                    • Can cause weight gain, headache, and fluid retention.
                                    • Tell your doctor about any mental confusion, persistent abdominal pain, dark urine, yellowing of eyes/skin, or easy bruising.
                                    • Not recommended for patients with certain heart problems.
                                    • Change the location where you give yourself the shot every time.
                                    • Don't use if the liquid in the vial looks different than normal.
                                    • Store the unopened vials in the refrigerator. The used vials can be kept at room temperature for up to 28 days.
                                    • Take the medication exactly how your doctor tells you to.
                                    • Know the symptoms of low blood sugar.
                                    • Works best if you take it 30 minutes before a meal, usually your first big meal of the day.
                                    • Can cause weight gain, dizziness, or stomach upset.
                                    • Avoid drinking alcohol.
                                    • Eat regular, balanced meals to avoid low blood sugar.
                                    Coming soon
                                    • Long-acting insulin good for baseline blood sugar control.
                                    • Works in 1 hour and lasts about 24 hours.
                                    • Can cause weight gain and low blood sugar.
                                    • Make sure you and your family know the symptoms of low blood sugar: sweating, shakiness, weakness, fast heartbeat, nervousness, headache, blurry vision, trouble thinking clearly, or passing out.
                                    • Always have a good source of sugar nearby for low blood sugar episodes.
                                    • Take it at the same time every day.
                                    • Make sure you understand how to give yourself the injections.
                                    • Don't shake the vial or mix with another insulin. Store unopened vials in the refrigerator. Opened vials are good at room temperature for 28 days.
                                    • Check your blood sugar levels every day.
                                    • Take it with food to avoid upset stomach with diarrhea, nausea, and vomiting.
                                    • May cause headaches and cold-like symptoms.
                                    • Tell your doctor about any deep or rapid breathing, or persistent nausea, vomiting, and stomach pain.
                                    • Can be expensive depending on insurance coverage.
                                    • Works best if you take it 30 minutes before a meal, usually your first big meal of the day.
                                    • Can cause weight gain, dizziness, or stomach upset.
                                    • Avoid drinking alcohol.
                                    • Eat regular, balanced meals to avoid low blood sugar.
                                    Learn more
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