There is no best drug to treat type 2 diabetes, only the most appropriate one.
Therapeutic drugs for type 2 diabetes are currently available clinically in six oral drugs and two injections (insulin and GLP-1 agonists). The preferred oral drug after the discovery of type 2 diabetes is metformin, which is a drug that both domestic and foreign guidelines recommend should be used throughout as long as the patient has no contraindications and no intolerances such as gastrointestinal reactions. In addition to metformin, there are sulfonylurea pro-secretory agents, non-sulfonylurea pro-secretory agents, glycosidase inhibitors (acarbose, voglibose), insulin sensitizers, DPP-4 enzyme inhibitors, which can increase insulinotropic activity (a certain glargine, etc.), and a drug that increases urinary sugar excretion (SGLT-2 inhibitor) two types of injections are mainly various insulin and GLP-1 agonists, and their effects The mechanism of action is different and the clinical indications are different, but sometimes they can be used in combination.
Each of these drugs can be used to regulate blood glucose in their own way. The specific choice of medications and how they work together should be made at a specialty diabetes clinic, with guidance from a medical professional depending on the individual’s situation.