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Below 70? The 15-15 rule

All forDiabetes

Injection helps treat hard – to – control type 2 diabetes

All for DiabetesPublished April 27, 20101 min read

Key points

  • Patients with type 2 diabetes who can’t control their blood glucose levels with the drug metformin alone do better after adding injections of the drug liraglutide compared to oral doses of another drug called sitagliptin, researchers report.
  • The researchers found that the patients did better on liraglutide, although between 21 percent and 27 percent of patients reported nausea, compared to 5 percent of those on sitagliptin, according to the report published in the April 24 issue of The Lancet.
  • Radermecker of the University of Liege in Belgium noted that patients may think it’s easier to take one sitagliptin pill a day compared to daily injections of liraglutide.
  • Pratley, of the University of Vermont College of Medicine in Burlington, and his colleagues randomly assigned patients whose blood glucose wasn’t sufficiently controlled by metformin (Glucophage) to receive 26 weeks of treatment with liraglutide (Victoza) by injection or sitagliptin (Januvia) by mouth.

Patients with type 2 diabetes who can’t control their blood glucose levels with the drug metformin alone do better after adding injections of the drug liraglutide compared to oral doses of another drug called sitagliptin, researchers report.

In the study, Dr. Richard E. Pratley, of the University of Vermont College of Medicine in Burlington, and his colleagues randomly assigned patients whose blood glucose wasn’t sufficiently controlled by metformin (Glucophage) to receive 26 weeks of treatment with liraglutide (Victoza) by injection or sitagliptin (Januvia) by mouth.

The researchers found that the patients did better on liraglutide, although between 21 percent and 27 percent of patients reported nausea, compared to 5 percent of those on sitagliptin, according to the report published in the April 24 issue of The Lancet.

Liraglutide ???was well-tolerated with minimum risk of hypoglycemia. These findings support the use of liraglutide as an effective agent to add to metformin,??? they wrote in a news release from the journal.

In a commentary accompanying the study, Dr. Andre J. Scheen and Dr. Regis P. Radermecker of the University of Liege in Belgium noted that patients may think it’s easier to take one sitagliptin pill a day compared to daily injections of liraglutide. And liraglutide, they added, is more expensive, but it has improved benefits in terms of blood glucose control and weight reduction.

(Source: HealthDay News)

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.