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Managing Your Diabetes Medicines

For many people with diabetes, staying healthy means taking multiple medicines. Each medicine may be simple to use by itself. But combining several medicines takes extra care. Here’s how to prevent problems that can occur from medicine interactions and errors.

Multiplying the risk

Having diabetes means you’re at greater risk for other conditions. These include high blood pressure, heart disease, kidney problems, and depression. Along with your diabetes medicine, you may take other medicines to keep these conditions under control. If you have health conditions not related to diabetes, such as arthritis or asthma, you may also need to use medicines to treat them. You could end up taking many types of medicine every day. The more medicines you take, the greater the risk for a medicine mistake.

A medicine interaction happens when 2 or more medicines react with each other to cause an unexpected or harmful effect. Taking several medicines increases the risks of a harmful interaction. And when you’re trying to keep track of several pills, it’s all too easy to make a mistake. You might forget a dose or confuse one pill for another. Or you could take pills at the wrong time.

A dose of caution

By working with your healthcare provider, you can reduce the risk of such problems. These tips can help:

  • Be informed. Know what each of your medicines is for. Also know how each one should be used and when you should take it. Ask in advance about what to do if problems occur.

  • Tell each of your healthcare providers about all the medicines you’re taking. Include nonprescription medicines and any vitamins, supplements, and herbal products. These can all cause unexpected side effects. Make a list of all your medicines. Include each medicine’s name, purpose, strength, dosage, and directions for use.

  • Find out which medicines need to be taken by themselves because they block absorption of other medicines (such as iron and thyroid hormone). Also find out which need to be taken on an empty stomach or with food.

  • Metformin is a commonly prescribed medicine for diabetes. It may decrease the absorption of vitamin B12 from the intestines. If you are taking metformin, have your vitamin B12 levels checked from time to time. Take supplements if needed.

  • Review your list of medicines from time to time with your healthcare provider. Ask if you can stop taking some medicines. Or if you can replace them with more effective options.

  • Know the side effects of your medicines. Let your healthcare provider know if you develop any of these. Also tell your provider if you’re having trouble following your medicine schedule. Your provider may be able to help.

  • Talk with your healthcare provider before stopping any prescribed medicine. And also before starting any new prescription medicine, nonprescription medicine, or supplement. Ask if it's safe to combine the product with your current prescription or nonprescription medicines.

  • Make a checklist to mark down each dose of medicine as you take it. Or use a pillbox with sections that organize your pills by day and time.

To help guide your diabetes management, your healthcare team will use clinical standards that include medicine use. It's important to work closely with your healthcare team. With a little planning and your provider's help, you’ll have a prescription for safer medicine use.

Online Medical Reviewer: Maryann Foley RN BSN
Online Medical Reviewer: Raymond Kent Turley BSN MSN RN
Online Medical Reviewer: Robert Hurd MD
Date Last Reviewed: 12/1/2018
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