Managing Your Diabetes Medications
For many people with diabetes, staying healthy means having a full medicine chest and taking multiple medications. Each medication may be simple to use by itself. Yet combining several drugs takes extra care. Here’s how to prevent problems that can arise from drug interactions and medication errors.
Multiplying the risk
Having diabetes means you’re at increased risk for conditions such as high blood pressure, heart disease, kidney problems, and depression. Along with your diabetes medicine, you may take other medications to keep these conditions under control. And if you have health conditions unrelated to diabetes, such as arthritis or asthma, you may need to use medicines to treat them. You could end up taking as many as four or more types of medicine every day. The more medicines you take, the greater the risk is for a medication mishap.
A drug interaction occurs when two or more drugs react with each other to cause an unexpected effect. Taking several medications increases the odds of a harmful interaction. In addition, when you’re trying to keep track of several pills, it’s all too easy to make a mistake. You might forget a dose, confuse one pill for another, or take pills at the wrong time.
A dose of caution
By working with your health care provider, you can reduce the risk of such problems. These tips can help:
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Be informed. Know what each of your medications is for and how it should be used. Ask in advance about what to do if problems arise.
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Tell each of your providers about the medications you’re taking. Include nonprescription medicines as well as vitamins and herbal products. Prepare a list including each drug’s name, purpose, strength, dosage, and directions for use.
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Review the list periodically with your provider. Ask whether you might be able to discontinue some medications or replace them with more effective alternatives.
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Let your provider know if you develop side effects. Also tell your provider if you’re having trouble following your medication schedule—he or she may be able to help.
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Talk with your provider before stopping any prescribed medication and before starting any new nonprescription medicine or supplement. Ask whether it’s safe to combine the product with your prescription medicine.
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Create a checklist for marking down each dose of medication as you take it. Or, use a pillbox with compartments that organize your pills by day and time.
With a little planning and the help of your provider, you’ll have a prescription for safer medication use.
Publication Source:
"Patient Sheet: Tips for Avoiding Problems With Polypharmacy." Hogan DB, Kwan M. CMAJ. October 10, 2006, vol. 175, no. 8, p. 876.
Publication Source:
Staywell Diabetes/Spring 2007
Author:
Andrews, Linda Wasmer
Online Source:
Taking Medicines Safely: Managing Your Medicines, National Institute on Aging, March 21, 2007
http://nihseniorhealth.gov/takingmedicines/managingyourmedicines/01.html
Online Source:
Are You Taking More Meds Than You Need? American Diabetes Association, June 2004
http://www.diabetes.org/diabetes-forecast/jun2004/meds.jsp
Online Source:
Type 2 Diabetes Complications, American Diabetes Association
http://www.diabetes.org/type-2-diabetes/complications.jsp
Online Source:
Drug Interactions: What You Should Know, FDA, March 24, 2006
http://www.fda.gov/cder/consumerinfo/druginteractions.htm
Online Source:
Agency for Healthcare Research and Quality
http://effectivehealthcare.ahrq.gov/repFiles/Insulin_Consumer_Web.pdf
Online Source:
American Academy of Family Physicians
http://familydoctor.org/online/famdocen/home/seniors/seniors-meds/231.html
Online Source:
CDC
http://www.cdc.gov/Features/MedicineSafety/
Online Editor:
Louise Akin RN BSN
Online Editor:
Sinovic, Dianna
Online Medical Reviewer:
Gaskin, Kelley RN, MSN, CPNP
Online Medical Reviewer:
Louise Akin, RN, BSN
Online Medical Reviewer:
Siegel, Richard, M.D.
Date Last Reviewed:
10/4/2009
Date Last Modified:
10/4/2008