Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Glyburide (Glynase) and Janumet (sitagliptin/metformin) are medications used to manage Type 2 diabetes. Both medications work in different ways to lower blood sugar, and have other differences between them. Glyburide helps your pancreas release more insulin, while Janumet combines sitagliptin and metformin to lower blood sugar by reducing sugar production in the liver and improving insulin sensitivity. Glyburide is typically taken once or twice daily with meals, whereas Janumet's immediate-release form is taken twice daily, and its extended-release form is taken once daily. Glyburide can cause low blood sugar and weight gain, while Janumet is less likely to cause these issues but can lead to gastrointestinal (gi) side effects like diarrhea. Janumet is not yet available as a generic, whereas glyburide is available as a lower-cost generic. Both medications require a prescription and should be used alongside a healthy diet and regular exercise.
Glyburide
Janumet (sitagliptin / metformin)
Glyburide
Janumet (sitagliptin / metformin)
Summary of Glyburide vs. Janumet
Summary for Sulfonylurea
Prescription only
Glyburide is taken by mouth to lower blood sugar levels for people who have Type 2 diabetes. This medication isn't meant to be taken alone, but in addition to eating a healthy diet and engaging in regular exercise. Glyburide is typically taken once or twice daily, depending on your dose.
Summary for DPP-4 inhibitor / Biguanide
Prescription only
Janumet (sitagliptin / metformin) is a medication for adults with Type 2 diabetes. It contains two different diabetes medications that work together to help control blood sugar. One is sitagliptin, a DPP-4 inhibitor, and the other is metformin, a biguanide. The Janumet immediate-release tablets are taken by mouth twice a day. It works best when used with a balanced meal plan and exercise routine. Some side effects are diarrhea, upper respiratory tract infection, and headache. There's only a brand-name version of Janumet; there's no generic version yet.