Written & medically reviewed by Dr. Sanjay Anbu, MBBS· Last reviewed
Diabetes medicines are prescribed by a doctor and chosen to fit your sugar levels, weight, kidneys and heart. Metformin is usually first, with other tablets or insulin added as needed — alongside diet and activity.
Very high sugar with vomiting or drowsiness (emergency)
Low-sugar episodes (shakiness, sweating, confusion) — adjust with your doctor
Do not stop diabetes medicine on your own
Prescription-only — see a doctor. This lists medicines commonly used for this condition to help you understand your options — it is NOT a prescription. Do not self-medicate: the right choice and dose depend on the cause, your health and other medicines, and prescription drugs (especially antibiotics) need a doctor. Misusing antibiotics drives resistance.
Frequently asked questions
What is the first medicine for type 2 diabetes?
Metformin is usually first-line, alongside diet and activity. Other tablets or insulin are added to reach and maintain your target sugar (HbA1c).
Which diabetes medicine is best?
It depends on your sugar levels, weight, kidney and heart health. Some newer medicines (SGLT2, GLP-1) also protect the heart and kidneys. Your doctor tailors this.
Can I stop diabetes medicine if my sugar is normal?
Not on your own — normal sugar usually means the medicine is working. Type 2 can sometimes improve with major weight loss, but change medicines only with your doctor.
Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.