1. Their pancreas simply does not produce enough insulin anymore.
2. The cells have become insulin resistant.
Different diabetes medications are used for one of these two categories based on simple blood tests that tell the doctor which category you belong to.
Sulfonylureas
Biguanides
These types of diabetic medications aid the insulin in moving glucose into different cells. This type of medicine is not for everyone though. If you have kidney problems or a history of heart problems you could be at risk of serious medical issues. Glucophage, Fortament, Glumetza and Riomet are all examples of Biguanides.
Thiazolidnediones
Drugs in this class such as Actos and Avandia work in making your body's insulin more effective. They block the liver from releasing too much insulin, while making it more effective in muscle and fat.
Although Thiazolidinediones are excellent in type 2 diabetics, your doctor will do periodic blood tests to be sure they are not damaging your liver.
Alpha - Glucosidase Inhibitors
A major side effect from these drugs such as Precose and Glyset are gas and diarrhea.
Meglitinides
There are also several different combinations of these medications available that combine two different types into one pill.
This is only a brief overview and only your doctor can help determine the course of treatment that is right for you.
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