Generic and Trade Names of Type 2 Diabetes Medications by Drug Class
Biguanides
- Generic: Metformin
- Trade Names: Glucophage, Glucophage XR, Fortamet, Glumetza, Riomet
SGLT-2 Inhibitors (Sodium-Glucose Cotransporter 2 Inhibitors)
- Canagliflozin - Invokana
- Empagliflozin - Jardiance
- Dapagliflozin - Farxiga
- Ertugliflozin - Steglatro
GLP-1 Receptor Agonists (Glucagon-Like Peptide-1 Receptor Agonists)
- Dulaglutide - Trulicity (subcutaneous)
- Liraglutide - Victoza (subcutaneous)
- Semaglutide - Ozempic (subcutaneous), Rybelsus (oral)
- Exenatide - Byetta, Bydureon (subcutaneous)
Dual GIP/GLP-1 Receptor Agonists
- Tirzepatide - Mounjaro (subcutaneous)
DPP-4 Inhibitors (Dipeptidyl Peptidase-4 Inhibitors)
- Sitagliptin - Januvia
- Saxagliptin - Onglyza
- Linagliptin - Tradjenta
- Alogliptin - Nesina
Sulfonylureas
- Glipizide - Glucotrol, Glucotrol XL
- Glyburide - DiaBeta, Glynase, Micronase
- Glimepiride - Amaryl
Thiazolidinediones (TZDs)
- Pioglitazone - Actos
- Rosiglitazone - Avandia
Meglitinides
- Repaglinide - Prandin
- Nateglinide - Starlix
Alpha-Glucosidase Inhibitors
- Acarbose - Precose
- Miglitol - Glyset
Amylin Analogs
- Pramlintide - SymlinPen (subcutaneous injection)
Insulins
Rapid-Acting
- Insulin lispro - Humalog
- Insulin aspart - NovoLog
- Insulin glulisine - Apidra
Short-Acting
- Regular insulin - Humulin R, Novolin R
Intermediate-Acting
- NPH insulin - Humulin N, Novolin N
Long-Acting
- Insulin glargine - Lantus, Basaglar, Toujeo
- Insulin detemir - Levemir
- Insulin degludec - Tresiba
Ultra-Long-Acting
- Insulin degludec - Tresiba (also classified here)
The most recent guidelines 1 prioritize metformin as first-line therapy, with SGLT-2 inhibitors and GLP-1 receptor agonists recommended early for patients with cardiovascular or kidney disease. [@1,2,3@] The dual GIP/GLP-1 agonist tirzepatide represents the newest class with superior weight loss effects compared to traditional GLP-1 agonists 2.
Key Clinical Distinctions by Class:
Weight effects vary significantly: Tirzepatide, semaglutide, and liraglutide produce strong weight loss (>5%), while canagliflozin, dapagliflozin, ertugliflozin, and dulaglutide produce moderate loss (3.2-5%). Metformin, acarbose, empagliflozin, and exenatide produce mild loss (<3.2%) 2.
Cardiovascular and renal protection: Specific agents within SGLT-2 inhibitors (canagliflozin, empagliflozin, dapagliflozin) and GLP-1 RAs (dulaglutide, liraglutide, semaglutide) have demonstrated cardiovascular and kidney benefits in outcomes trials [@2,3@].