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Eating a healthy, reduced-fat and low salt diet, avoiding excess alcohol, and exercising regularly can go a long way toward controlling high blood pressure and cholesterol. Your health care provider may also recommend taking prescription medication, if necessary.
Dipeptidyl peptidase 4 (DPP-4) inhibitors, also known as gliptins, are other metformin alternatives. This class includes Januvia (sitagliptin), Tradjenta (linagliptin), and Nesina (alogliptin). These once-daily oral pills lower A1C up to 0.8%, making them less effective than metformin in general. 7 Metformin Alternatives to Consider for Type 2 Diabetes - GoodRx goodrx.com metformin metformin-alter goodrx.com metformin metformin-alter
If youre at high risk of diabetes, your health care provider might recommend metformin (Glumetza). Medications to control cholesterol and high blood pressure might also be prescribed.
In general, all oral antidiabetic agents should be discontinued 24 hours before surgery, especially sulfonylureas (e.g., glipizide) and glinides (e.g., nateglinide or repaglinide). These drugs can induce hypoglycemia in the absence of food.
Diabetic patients should preferably be scheduled for surgery early in the day. It is recommended to check the blood glucose in the preoperative area. Hypoglycemia (BG less than 70 mg/dl) treatment is with glucose tablets/gels or intravenous dextrose solutions.
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Mounjaro is a first-in-class medicine that activates both the GLP-1 and GIP receptors, which leads to improved blood sugar control. Mounjaro is administered by injection under the skin once weekly, with the dose adjusted as tolerated to meet blood sugar goals. FDA Approves Novel, Dual-Targeted Treatment for Type 2 Diabetes fda.gov news-events press-announcements fda.gov news-events press-announcements
Diabetic patients should preferably be scheduled for surgery early in the day. It is recommended to check the blood glucose in the preoperative area. Hypoglycemia (BG less than 70 mg/dl) treatment is with glucose tablets/gels or intravenous dextrose solutions.
Adjusting Diabetes Medications for Surgery Newer generation sulfonylureas, such as glyburide (Micronase) and glipizide (Glucotrol), can be withheld the morning of the surgery. Metformin (Glucophage) should be stopped 24 h before the procedure.
Before your surgery, you may need to check your blood sugar more often. Your doctor may have you do this for at least 24 hours before and for 72 hours after your surgery. If you take insulin or other medicine for diabetes, your doctor will give you exact instructions about how to take them.
Continue to take your insulin at the same times as usual, unless your doctor gives you other instructions. before surgery. Do not take any your oral diabetes medication the morning of surgery. Follow your diabetes doctors instructions about taking insulin the morning of surgery.

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