Prescription onlyClass: Endocrine

Novolog Alternatives

(insulin aspart)

Prescription onlyClass: Endocrine
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Compare Novolog (insulin aspart) to alternatives

These medications are comparable to Novolog (insulin aspart) or used for similar purposes.

Novolog
(insulin aspart)

Humalog
(insulin lispro)

Glucophage
(metformin)

Levemir
(insulin detemir)

Januvia
(sitagliptin)

Actos
(pioglitazone)

Humulin
(human insulin)

Glucotrol
(glipizide)

Apidra
(insulin glulisine)

Lantus
(insulin glargine)

Janumet
(sitagliptin / metformin)

Diabeta
(glyburide)

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. 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 the first choice medicine to control your blood sugar and lower the risk of death from diabetes, although a few people may not tolerate the stomach side effects.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 your blood sugar. Januvia (sitagliptin) is a good add-on treatment if your blood sugars are not controlled and you don't want to use an injectable medicine.Lowers blood sugar. Actos (pioglitazone) can improve blood sugar control but is not a top choice since it has a lot of 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 an effective medicine for lowering blood sugar, but it can cause your blood sugar level to be too low so you must always carry some form of sugar with you that can be readily used.Controls blood sugar. Apidra (insulin glulisine) is an insulin that controls blood sugar during your meals, but you'll still have to follow your doctor's diet and exercise plan.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 your blood sugar. Janumet is a combination of two anti-diabetic medicines that work better together, but is available as brand only.Lowers blood sugar. Diabeta (glyburide) is a good oral anti-diabetic medicine, but can cause hypoglycemia or low blood sugar.
Reviews & ratings
Filter group. All currently selected
Filter group. All currently selected
4.77Novolog
Reviews for Novolog
58%
of people (All ages) say Novolog is worth it
46%
say it works well
19%
say it's a big hassle
177 reviews
Have you used Novolog (insulin aspart)?
Worth itNot sureNot worth it
Reviews for Humalog
64%
-6% worse vs. Novolog
50%
-4% worse vs. Novolog
16%
-3% worse vs. Novolog
280 reviews
Have you used Humalog (insulin lispro)?
Worth itNot sureNot worth it
Reviews for metformin
65%
-7% worse vs. Novolog
46%
Same vs. Novolog
16%
-3% worse vs. Novolog
938 reviews
Have you used Glucophage (metformin)?
Worth itNot sureNot worth it
Reviews for Levemir
45%
+13% better vs. Novolog
35%
+11% better vs. Novolog
22%
+3% better vs. Novolog
130 reviews
Have you used Levemir (insulin detemir)?
Worth itNot sureNot worth it
Reviews for Januvia
44%
+14% better vs. Novolog
34%
+12% better vs. Novolog
17%
-2% worse vs. Novolog
143 reviews
Have you used Januvia (sitagliptin)?
Worth itNot sureNot worth it
Reviews for Actos
42%
+16% better vs. Novolog
30%
+16% better vs. Novolog
21%
+2% better vs. Novolog
175 reviews
Have you used Actos (pioglitazone)?
Worth itNot sureNot worth it
Reviews for Human Insulin
67%
-9% worse vs. Novolog
46%
Same vs. Novolog
11%
-8% worse vs. Novolog
Have you used Humulin (human insulin)?
Worth itNot sureNot worth it
Reviews for Glucotrol
50%
+8% better vs. Novolog
32%
+14% better vs. Novolog
19%
Same vs. Novolog
332 reviews
Have you used Glucotrol (glipizide)?
Worth itNot sureNot worth it

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

Have you used Apidra (insulin glulisine)?
Worth itNot sureNot worth it
Reviews for Lantus
67%
-9% worse vs. Novolog
51%
-5% worse vs. Novolog
14%
-5% worse vs. Novolog
584 reviews
Have you used Lantus (insulin glargine)?
Worth itNot sureNot worth it
Reviews for Janumet
46%
+12% better vs. Novolog
38%
+8% better vs. Novolog
15%
-4% worse vs. Novolog
Have you used Janumet (sitagliptin / metformin)?
Worth itNot sureNot worth it
Reviews for glyburide
45%
+13% better vs. Novolog
34%
+12% better vs. Novolog
21%
+2% better vs. Novolog
110 reviews
Have you used Diabeta (glyburide)?
Worth itNot sureNot worth it
Side effects
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
  • Hyporeflexia 11%
  • Onychomycosis 10%
  • Sensory disturbance 9%
  • Urinary tract infection 8%
  • Chest pain 5%
  • Headache 5%
  • Skin disorder 5%
  • Abdominal pain 5%
  • Sinusitis 5%
  • Injury accidental 11%
More Novolog side effects »
  • Flu syndrome 35%
  • Pharyngitis 33%
  • Headache 30%
  • Rhinitis 25%
  • Pain 20%
  • Cough increased 17%
  • Infection 14%
  • Accidental injury 9%
  • Diarrhea 9%
  • Asthenia 7%
More Humalog side effects »
  • Diarrhea 41%
  • Nausea/vomiting 18%
  • Gas 6%
  • Weakness 3%
  • Indigestion 3%
  • Stomach pain 1%
  • Headache 1%
More metformin side effects »
  • Upper respiratory tract infection 26%
  • Headache 23%
  • Pharyngitis 10%
  • Influenza-like illness 8%
  • Abdominal Pain 6%
  • Gastroenteritis 17%
  • Abdominal pain 13%
  • Pyrexia 10%
  • Cough 8%
  • Viral infection 7%
More Levemir side effects »
  • Common cold 2%
  • Diarrhea 1%
  • Upper respiratory infection 3%
  • Headache 1%
More Januvia side effects »
  • Swelling 11%
  • Low blood sugar 8%
  • Colds and flu 4%
  • Headache 2%
  • Heart failure 2%
  • Sinus infection 1%
  • Back pain 1%
  • Muscle pain 2%
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 »
  • Dizziness 1%
  • Diarrhea 5%
  • Nervousness 1%
  • Tremor 4%
  • Passing gas 2%
  • Low blood sugar 3%
  • Constipation 3%
  • Nausea 3%
  • Headache 2%
More Glucotrol side effects »
  • Common cold 11%
  • Upper respiratory tract infection 8%
  • Low blood sugar 7%
  • Headache 7%
  • Seizure due to low blood sugar 6%
  • Flu 4%
  • Swelling in the arms and legs 8%
  • Joint pain 6%
  • High blood pressure 4%
  • Allergic reactions 4%
More Apidra side effects »
  • Upper respiratory tract infection 22%
  • Infection 9%
  • Accidental injury 6%
  • Headache 6%
  • Edema peripheral 20%
  • Hypertension 20%
  • Sinusitis 19%
  • Influenza 19%
  • Cataract 18%
  • Bronchitis 15%
More Lantus side effects »
  • Low blood sugar 15%
  • Diarrhea 4%
  • Upper respiratory tract infection 1%
  • Headache 3%
More Janumet side effects »
  • Nausea and heartburn 2%
  • Skin allergies 2%
More glyburide side effects »
How it works
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
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.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 the amount of sugar your body makes or absorbs, and allows your body use the existing insulin better.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.Januvia (sitagliptin) is an anti-diabetic drug that enhances your body's release of insulin.Actos (pioglitazone) is a thiazolidinedione that 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) stimulates your body to release insulin and lower blood sugar.Apidra (insulin glulisine) is an insulin that controls your blood sugar by turning the sugars you eat into energy or storing it in your body for future use.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 (sitagliptin / metformin) is a combination of two anti-diabetic medicines. Metformin lowers the amount of sugar your body produces, and sitagliptin enhances the release of insulin.Diabeta (glyburide) stimulates your body to release insulin and lower blood sugar.
Type of medication
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
Prescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription onlyPrescription only
Available as
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
  • Injection
  • Injection
  • Pill
  • Extended release pill
  • Liquid
  • Injection
  • Pill
  • Pill
  • Injection
  • Inhaler
  • Pill
  • Extended release pill
  • Injection
  • Injection
  • Pill
  • Extended release
  • Pill
Used for
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
Risk factors for serious side effects
NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
  • Insulin dose too high
  • Use of other blood sugar lowering medicines
  • Poor injection techniques
  • Unstable kidney functions
  • Unstable liver functions
Detailed Novolog (insulin aspart) risks & warnings »
  • Insulin dose too high
  • Use of other blood sugar lowering medicines
  • Poor injection techniques
  • Unstable kidney functions
  • Unstable liver functions
Detailed Humalog (insulin lispro) risks & warnings »
  • Kidney problems
  • Liver problems
  • Congestive heart failure
  • Using contrast dye for procedures
  • Surgery
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
Detailed Levemir (insulin detemir) risks & warnings »
  • History of pancreatitis
  • High blood triglyceride levels
  • Gallstones (stones in gallbladder)
  • History of alchoholism
  • Kidney problems
Detailed Januvia (sitagliptin) risks & warnings »
  • Heart failure
  • Current liver problems
  • History of bladder cancer
  • Women
Detailed Actos (pioglitazone) risks & warnings »
    Detailed Humulin (human insulin) risks & warnings »
    • Skipping meals or having inconsistent meal times
    • Drinking alcohol
    • Using other blood sugar-lowering medicine
    • People age 60 or older
    • Those with kidney and/or liver problems
    Detailed Glucotrol (glipizide) risks & warnings »
    • Changes in diet and exercise
    • Drinking alcohol
    • Taking other medications for diabetes
    • Over age 65
    • Liver or kidney problems
    Detailed Apidra (insulin glulisine) risks & warnings »
    • Insulin dose too high
    • Use of other blood sugar lowering medicines
    • Poor injection techniques
    • Unstable kidney functions
    • Unstable liver functions
    Detailed Lantus (insulin glargine) risks & warnings »
    • Kidney problems
    • Liver problems
    • Congestive heart failure
    • Using contrast dye for procedures
    • Surgery
    Detailed Janumet (sitagliptin / metformin) risks & warnings »
    • Over age 65
    • Kidney problems
    • Use of other blood sugar lowering medicines
    • Alcohol
    • Intense physical activity
    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 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.

    Alcohol
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    No alcohol related info.No alcohol related info.
    • Limit or avoid alcohol when taking this medicine.
    • Excessive or chronic alcohol use can increase the risk of a dangerous side effect.
    No alcohol related info.No alcohol related info.No alcohol related info.No alcohol related info.
    • Avoid drinking alcohol while taking Glucotrol (glipizide).
    No alcohol related info.No alcohol related info.No alcohol related info.
    • Try to avoid drinking alcohol while on Diabeta (glyburide).
    Food
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    • Short-acting insulin good for blood sugar control around meal times.
    • Novolog is a fast-acting insulin that provides sugar control after meals.
    • Short-acting insulin good for blood sugar control around meal times.
    • Always take it with food to lessen stomach upset.
    No food related info.
    • Take once a day in the morning with or without food.
    • Take once a day with or without food.
    No food related info.
    • Eat regular and well-balanced meals to keep your blood sugar levels normal.
    • Apidra (insulin glulisine) has to be injected with every meal.
    No food related info.
    • Take with food to avoid upset stomach with diarrhea, nausea, and vomiting.
    • Eat well-balanced meals to avoid low blood sugar.
    Kidneys and liver
    NovologHumalogmetforminLevemirJanuviaActosHuman 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.
    • Glucophage (metformin) can cause this rare life-threatening condition. Your doctor will check your kidneys and liver before you start. Symptoms include deep and rapid breathing, nausea, vomiting, and stomach pain. This is a medical emergency and you should get help right away. You're more likely to get this if you already have kidney problems. Glucophage (metformin) should be stopped 48 hours before and after surgery or any imaging procedure needing contrast dye.
    • Usually not a good choice for people with kidney problems. Your doctor will tell you if Glucophage (metformin) is right for you to take.
    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
    • Januvia (sitagliptin) can worsen kidney problems. Your doctor may check your kidney function before and during treatment. Your doctor may have to adjust the dose or stop this medicine based on changes in kidney function.
    • If you've had liver problems or damage in the past, talk to your doctor before starting Actos (pioglitazone), since there's a small chance that it can hurt your liver. Tell your doctor about any stomach pain that don't go away, dark urine, or yellowing of eyes/skin. Your doctor will check your liver regularly.
    No kidneys and liver related info.No kidneys and liver related info.
    • Your doctor might have to check your kidneys and liver regularly if you've had kidney or liver problems in the past.
    • Okay to use even if you have liver or kidney problems, unlike most other blood sugar-lowering medicines.
    • Not appropriate for those with poor kidney function.
    • Not ideal for elderly or those with poor kidney function.
    Pain
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    No pain related info.No pain related info.No pain related info.No pain related info.
    • Tell your doctor right away if you have severe stomach pain, nausea, and/or vomiting. These are symptoms of pancreatitis.
    No pain related info.No pain related info.No pain related info.No pain related info.No pain related info.No pain related info.No pain related info.
    Weight
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    • 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.
    • Likely to cause moderate weight gain (around 4 to 6 pounds).
    • Doesn't cause weight gain.
    • Can cause weight gain and low blood sugar.
    • Likely to cause moderate weight gain (around 4 to 6 pounds).
    • It is less likely to cause weight gain and low blood sugar compared to other diabetes medicines.
    • Can cause weight gain, headache, and swelling from fluid build-up.
    • Can cause weight gain.
    • 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 of 2-3lb.
    No weight related info.
    • Can cause weight gain and low blood sugar.
    • Likely to cause moderate weight gain (around 4 to 6 pounds).
    No weight related info.
    • Can cause weight gain, dizziness, or stomach upset.
    • Can cause weight gain (about 2 to 3 pounds).
    Upsides and benefits
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    • 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.
    • Novolog is a fast-acting insulin that provides sugar control after meals.
    • 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.
    • 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.
    • Humalog is a fast-acting insulin that provides sugar control after meals.
    • 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.
    • Improves sugar control and lowers A1c levels as much as 2%.
    • One of the few diabetes medicines that lowers the risk of death from diabetes-related complications.
    • Doesn't cause weight gain.
    • Rarely causes 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.
    • Levemir is a long-lasting insulin that provides consistent, all-day sugar control with less risk of low blood sugar.
    • 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.
    • Oral blood sugar-lowering medicine.
    • Januvia (sitagliptin) is not linked to worsening heart failure like other medicines in its class.
    • Uses the hormones naturally produced by your body to affect how sugar is processed.
    • It is less likely to cause weight gain and low blood sugar compared to other diabetes medicines.
    • Improves sugar control and lowers A1c levels by around 1%.
    • Easily taken by mouth as a once a day pill.
    • Prevents the harmful effects of high sugar levels on your organs.
    • Rarely causes low blood sugar.
    • Lower the risk of heart attack or stroke.
    • 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.
    • Lowers A1c levels by 1-2%.
    • Glucotrol (glipizide) is an oral medicine so it might be a good alternative for those who don't like injections.
    • Protects your organs and blood vessels by preventing the harmful effects of high blood sugar levels.
    • Okay to use by people with kidney problems.
    • Available as a generic form and is relatively cheap.
    • Apidra (insulin glulisine) starts working in as soon as 15 minutes.
    • Programs are available to lower your copay. Talk to your doctor or pharmacist.
    • Can be used in children 4 years of age and older.
    • Can be used in people over 65.
    • 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.
    • Lantus is a long-lasting insulin that provides consistent, all-day sugar control with less risk of low blood sugar.
    • 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.
    • This 2-in-1 combination can lower the number of pills you have to take daily.
    • Lowers A1c (average blood sugar over time) up to 2.5%.
    • Available in extended and immediate release forms to allow better control of your blood sugar.
    • Doesn't increase your appetite unlike other anti-diabetic medicines.
    • Does not cause hypoglycemia or very low blood sugar.
    • 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.
    Downsides and risks
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    • 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.
    • 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.
    • Often causes stomach upset, like diarrhea, nausea, gas, or stomach cramping.
    • Usually not a good choice for people with kidney problems. Your doctor will tell you if Glucophage (metformin) is right for you to take.
    • Excessive or chronic alcohol use can increase the risk of a dangerous side effect.
    • 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.
    • Lowers A1c (average blood sugar over time) by less than 1%.
    • Available as brand version only.
    • Some people might get frequent cold-like symptoms.
    • Rare but serious side effects include pancreatitis and severe joint pain.
    • May take several weeks to lower blood sugar.
    • Can cause weight gain.
    • People with heart failure or history of bladder cancer shouldn't use this medicine.
    • Some people might get fluid accumulation (edema), from minor ankle swelling to fluid in lungs that makes it hard to breathe.
    • Raises the risk of bone fractures, especially for people who already have a risk for fractures.
    • 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.
    • Has a higher risk than other diabetes medicine for causing blood sugar levels to be too low.
    • While taking Glucotrol (glipizide), your blood sugars should be checked 2 to 5 times a week, but less often once you are on a stable dose.
    • Can cause mild weight gain of 2-3lb.
    • Might lose its effectiveness over time.
    • Needs to be taken 30 minutes before a meal for it to be most effective.
    • Your doctor might have to check your kidneys and liver regularly if you've had kidney or liver problems in the past.
    • Apidra (insulin glulisine) has to be injected with every meal.
    • Only available as a brand name, so Apidra (insulin glulisine) can be expensive.
    • 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.
    • Available as brand name only and may be expensive.
    • Metformin component usually causes upset stomach.
    • Sitagliptin component may increase your risk for throat infections and inflammation of pancreas.
    • Not appropriate for those with poor kidney function.
    • 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.
    Tips from our pharmacists for people taking the medication
    NovologHumalogmetforminLevemirJanuviaActosHuman InsulinGlucotrolApidraLantusJanumetglyburide
    • 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.
    • 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 to lessen stomach upset.
    • Stay hydrated.
    • Limit or avoid alcohol when taking this medicine.
    • Tell your doctor about any deep or rapid breathing, or persistent nausea, vomiting, and stomach pain.
    • Check your blood sugar regularly.
    • 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 once a day in the morning with or without food.
    • Can cause headache and cold-like symptoms.
    • Tell your doctor right away if you have severe stomach pain, nausea, and/or vomiting. These are symptoms of pancreatitis.
    • Tell your doctor right away if you are experiencing severe joint pain.
    • Check your blood sugar regularly to check for low blood sugar.
    • Take once a day with or without food.
    • May need several weeks to see full effect on blood sugar control.
    • Can cause weight gain, headache, and swelling from fluid build-up.
    • Tell your doctor about any shortness of breath, heart troubles, or unusual swelling.
    • Not recommended for patients with a history of heart failure or bladder cancer.
    • Check your blood sugar regularly.
    • 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.
    • Take the medicine 30 minutes before eating, usually before your first big meal of the day.
    • Avoid drinking alcohol while taking Glucotrol (glipizide).
    • Eat regular and well-balanced meals to keep your blood sugar levels normal.
    • Check your blood sugar regularly.
    • Glucotrol (glipizide) can cause dizziness so avoid activities that require coordination until you know how your body can handle the medicine.
    • Starts working within 10 to 30 minutes, and lasts for up to 5 hours.
    • Take Apidra (insulin glulisine) 15 minutes before a meal or within 20 minutes after starting a meal.
    • Don't mix Apidra (insulin glulisine) for under the skin injection with any other insulin except Novolin N or Humulin N. Don't mix Apidra (insulin glulisine) with any other insulin if you're using an insulin pump.
    • Don't use Apidra (insulin glulisine) if it looks cloudy or changes color, it's leaking or if there are particles in it.
    • Change the area where you inject Apidra (insulin glulisine) every time.
    • Keep all unopened vials or pens of Apidra (insulin glulisine) in the fridge until you're ready to use it. You can keep opened vials and pens at room temperature, but throw it away after 28 days.
    • 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 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.
    • Check your blood sugar regularly.
    • Check your blood sugar regularly.
    • Eat well-balanced meals to avoid low blood sugar.
    • Works best if you take it 30 minutes before first main meal of the day.
    • Can cause weight gain, dizziness, or stomach upset.
    • Try to avoid drinking alcohol while on Diabeta (glyburide).
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