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Type 2 Diabetes: Living With Complications - Medications

earthkeepers on Mar 18th 2008

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type 2 diabetes. You may be taking insulin by
injection or through an
insulin pump alone or along with oral diabetes
medication. Taking these medications as prescribed can help keep your blood
sugar levels within your
target range. For information on these medications,
see the Medications section of the topic
Type 2 Diabetes: Living With the Disease.

You may need to take:

  • Aspirin. If you are age 30 or older, talk to
    your health professional about taking a low-dose, or baby, aspirin daily to
    prevent
    heart attack,
    stroke, or other large blood vessel disease (macrovascular disease).1
  • An angiotensin-converting enzyme (ACE) inhibitor,
    angiotensin II receptor blocker, or other medication if you have
    high blood pressure or have protein in your urine.
    These medications can slow or prevent further damage to your
    kidneys.
  • Medications for digestive problems. The type of medication
    will depend on the problem you are having. For example, if you have
    gastroparesis, you may take treat erectile dysfunction the best (Reglan),
    domperidone (available in Europe and Canada), or
    erythromycin.
  • Nonprescription pain relievers, creams, or
    prescription oral or injection medications if you have pain from
    peripheral neuropathy.
  • Viagra, Levitra, or
    Cialis if you have erection problems. These medications can aggravate heart
    problems in some people, especially those taking nitrate medications (such as
    nitroglycerin). Check with your doctor before taking any of these
    medications.

Medication Choices

Medications for some dysfunction pill
include:

  • Aspirin after a
    heart attack or stroke or to prevent these.
  • Statins such as atorvastatin (Lipitor), simvastatin
    (Zocor), or pravastatin (Pravachol), to help prevent heart attack or
    stroke.
  • Angiotensin-converting enzyme (ACE) inhibitors or
    angiotensin II receptor blockers (ARBs) for diabetic
    nephropathy.
  • Phosphodiesterase-5 inhibitors (PDE-5
    inhibitors), such as Viagra, Levitra, or Cialis if you have erection
    problems. Check with your doctor before taking any of these medications.

What to Think About

Keep your blood sugar levels tightly within a normal or
near-normal range by taking your oral diabetes medication (and, in some cases,
insulin) as prescribed.

If you have
high cholesterol, take cholesterol-reducing
medications (such as statins) to keep your
LDL cholesterol level less than 100 mg/dL (2.60
mmol/L), your
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level less than 150 mg/dL (1.7 mmol/L),
and if possible, your
HDL cholesterol level more than 40 mg/dL (1.15 mmol/L)
in men. Women may need an HDL level of more than 50 mg/dL.7 See the topic
High Cholesterol.

If you have high blood pressure, take medications to keep your
blood pressure dysfunction pills
below 130/80 mm Hg. If your
systolic blood pressure is between 130 mm Hg and 139
mm Hg or your
diastolic blood pressure is between 80 mm Hg and 89 mm
Hg, you may try some lifestyle or behavioral therapy for 3 months before
starting medication.6 For more information, see the
topic
High Blood Pressure (Hypertension).

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