Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Nateglinide (formerly Starlix) and glyburide (Glynase) are both oral medications used to manage Type 2 diabetes, but they belong to different classes and have distinct characteristics. Nateglinide needs to be taken three times a day before meals and works by quickly stimulating the pancreas to release insulin, helping to control blood sugar levels after meals. Glyburide, on the other hand, is typically taken once or twice daily with the first main meal. Like nateglinide, it also stimulates the release of insulin in the pancreas but does it in a different way. Glyburide can lower A1C levels by 1.5%, which is higher than the 0.75% reduction seen with nateglinide. Both medications can cause low blood sugar, but glyburide has a higher risk, especially in older adults or those with kidney or liver issues. On the other hand, nateglinide is more likely than glyburide of causing weight gain. Additionally, glyburide has a potential risk of heart problems and hemolytic anemia.
Nateglinide
Glyburide
Nateglinide
Glyburide
Summary of Starlix vs. Glyburide
Summary for Meglitinide
Prescription only
Nateglinide is an add-on medication to diet and exercise to control blood sugar in people with Type 2 diabetes. This medication comes as a tablet that's taken by mouth. It must be taken three times a day, which might be inconvenient for some people.
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.
Indications of Starlix vs. Glyburide
Indications for
•Type 2 diabetes
Indications for
•Type 2 diabetes
Pros and Cons of Starlix vs. Glyburide
Pros and Const for Meglitinide
Pros
•Helps release insulin into the body within 20 minutes of taking