To Be Fair, New Diabetes Medications Have Some Use

In my last article on the newest generation of diabetes pills (the DPP-4 inhibitors), I basically said that their benefits were not impressive and the costs were too high. I stand by those comments, but I need to add some clarifying thoughts. I continue to use drugs like Januvia, Onglyza and Trajenta because certain individuals seem to get a better effect from them than I generally expect. If, for instance, a diabetic is on maximum dose of the older (and cheaper) diabetic medications and the glucose control is not good, instead of going directly to insulin as the next step, I will try the DPP-4 inhibitors (gliptins). If the glycohemoglobin A1c level drops by a percentage point (e.g from 9% to 8%) I will continue the new drug therapy. If the change is minor (less than a percentage point) then there is little reason to continue spending my patients’ money on a therapy which has failed. In these cases, insulin needs to be started. The nice thing about insulin treatment is that it almost always results in a swift and dramatic improvement in blood sugar. Few of my patients willingly accept insulin at the beginning and are glad they were given one more chance to stay on pill therapy, even if it is just a temporary reprieve.

These comments are for educational purposes only and do not constitute medical advice.

Gary Pepper
Editor in Chief,

Share this post

  • I come from a family of Diabetes sufferers. Just bad eating choices and not taking care of themselves. Usually from 50 years plus. I am more aware to look after myself as I have watched family and friends deteriorate from Diabetes. However today there are products out there that are natural and can support sufferers who can still have a good quality life.

    Optimum Diabetes Supplement free bottle offer with some packages
    for a free bottle offer with some packages of Supplement programs

  • Lose Weight The Slow Way

    Thank you for this important article on the newest generation of diabetes pills.

    I am one of those you refer to, who do not “willingly accept insulin at the beginning”.

    So yes, it’s great to have a “pill” option to try first.

    Really appreciate this information – thanks!