Diabetes Medication

Diabetes Medication

Gain Control Of Your Blood Sugar With The Right Treatment

Over 5.8 million people in the UK are living with diabetes, with 4.6 million diagnosed and an estimated 1.3 million undiagnosed [1]. Type 2 diabetes is the most common form, and many people may have it without realising. Worldwide, the number of people living with diabetes has risen sharply, from 200 million in 1990 to 830 million in 2022 [2]. With this growing impact, understanding the condition is more important than ever. Type 2 diabetes can often be prevented or delayed through healthy lifestyle choices, including a balanced diet, regular physical activity, weight management, appropriate medication and routine health checks. Knowing the risks, symptoms and treatment options can help you take control of your health and reduce the risk of serious complications.

Think you might have Diabetes? Try our 'Do I Have Diabetes' quiz.

Loading data

More Information

Start Your Online Consultation for Diabetes Treatment

It only takes a few minutes to complete your online consultation for diabetes with a registered prescriber at UK Meds. Simply follow the steps below to get started.

  1. Choose your preferred diabetes treatment from our available options.
  2. Complete our quick online questionnaire. A registered prescriber will review your answers and, if appropriate, issue a prescription.
  3. Your prescribed medication will then be dispensed and delivered securely in discreet packaging. Depending on your delivery choice, it could arrive as soon as tomorrow.

All requests for prescription medication at UK Meds are subject to an online clinical consultation. The final decision to prescribe will always be made by a registered prescriber.

"I'm a healthy weight, can I still develop diabetes?"

Yes, anyone can develop diabetes. It’s not only linked to weight or lifestyle. Factors like your genes, age, and ethnic background can all increase the risk.

  • Although type 2 diabetes is more common in people who are overweight, it can also occur in those with a healthy weight, especially if they carry more fat around their stomach area or have a family history of the condition.
  • Type 1 diabetes is different. It’s an autoimmune condition, which means it can affect anyone, regardless of their size or weight.

'Do I have Diabetes?' Quiz

Think you might have diabetes? Take our quick quiz to assess your likelihood of having diabetes. Remember, to always see a doctor for medical adivce regardless of the outcome of your quiz results to be sure.

What is diabetes?

Diabetes is a long-term condition that causes your blood sugar (glucose) levels to stay higher than normal. There are two main types: type 1 and type 2 diabetes. Both can cause similar symptoms, such as feeling very thirsty, needing to pass urine more often, feeling tired, losing weight without trying, slow-healing wounds, and frequent infections.

Video: Diabetes mellitus (type 1, type 2) & diabetic ketoacidosis (DKA) - Osmosis from Elsevier

Learn what diabetes is in this helpful video by Osmosis for Elsevier:

Type 1 diabetes develops quickly, often within days or weeks, and usually appears in childhood or early adulthood. It happens when the immune system attacks and destroys the cells in the pancreas that make insulin. Type 1 diabetes cannot be prevented.

Type 2 diabetes develops more slowly, sometimes over many years, and may go unnoticed for a long time. It occurs when the body doesn’t use insulin properly or doesn’t produce enough. It is more common in adults and often linked to being overweight, inactive, or having a family history of diabetes.

Insulin is a hormone that helps move glucose from the blood into your cells to be used for energy [4]. When this process doesn’t work properly, glucose builds up in the blood, leading to high blood sugar levels [3].

Differences between Type 1 and Type 2 diabetes

Although both affect blood sugar control, type 1 and type 2 diabetes develop for different reasons. The table below outlines the main differences between the two.

FeatureType 1 DiabetesType 2 Diabetes
CauseThe immune system attacks the insulin-producing cells in the pancreas [5].The body cannot use insulin properly or does not make enough [6].
DevelopmentAppears suddenly, often within days or weeks.Develops slowly over many years.
Insulin productionNo insulin is produced.Some insulin is produced, but not enough or not used effectively.
PreventionCannot be prevented.Can sometimes be prevented or delayed through healthy lifestyle changes.
Typical age of onsetUsually develops in childhood or early adulthood.More common in adults over 40, but increasingly seen in younger people.
Prevalence in the UKLess common – around 8% of diabetes cases.Far more common – over 90% of diabetes cases.

Both type 1 and type 2 diabetes are lifelong conditions. However, prediabetes and gestational diabetes (which can develop during pregnancy) may sometimes be reversed with early treatment and lifestyle changes.

Spotting diabetes early is important to prevent complications such as diabetic retinopathy, which can cause vision loss.

Symptoms of Type 1 and Type 2 diabetes

Although many symptoms overlap, they may appear differently depending on the type of diabetes. The table below shows which symptoms are most common for each type.

SymptomType 1 Diabetes [7]Type 2 Diabetes [8]
Urinating more often than usual
Feeling very thirsty
Extreme tiredness or lack of energy
Unexplained weight loss
Blurred vision
Slow-healing cuts or wounds
Sweet or fruity-smelling breath
Repeated thrush or skin infections

If you notice any of these symptoms, speak to your GP or a healthcare professional as soon as possible. Early diagnosis and management can help reduce the risk of complications and support long-term health.

What causes diabetes?

Diabetes develops when your body cannot make enough insulin or struggles to use it properly. Insulin is the hormone that helps move glucose (sugar) from the food you eat into your cells, where it is used for energy. When this process does not work as it should, glucose stays in your blood, leading to high blood sugar levels. Over time, this can cause serious health problems if left untreated, which is why regular monitoring and the right treatment are so important.

Type 1 diabetes happens when the immune system mistakenly attacks the cells in the pancreas that produce insulin.

  • It is not caused by lifestyle and cannot be prevented. The exact cause is still unknown, but it tends to run in families and is linked with other autoimmune conditions.
  • Type 1 diabetes often develops in children, teenagers, or young adults, and is slightly more common in people who live further from the equator.

Type 2 diabetes is more common and is often linked to lifestyle and health factors. It develops when the body becomes resistant to insulin or stops producing enough of it.

  • Being overweight, not getting enough physical activity, or eating an unhealthy diet can all raise your risk. Other factors, such as smoking, drinking too much alcohol, or taking certain long-term medicines, can also play a part.
  • People over 40, those from South Asian, Black African, or African Caribbean backgrounds, and women who have had gestational diabetes are more likely to develop type 2 diabetes.
Risk FactorDetails
Being overweight or having a high BMICarrying excess body fat can make it harder for the body to respond to insulin properly.
Low physical activity levelsNot being active enough reduces how well the body uses insulin.
Poor diet lacking in balance and nutrientsEating too many sugary or processed foods increases the risk of developing insulin resistance.
Family history of type 2 diabetesYour risk is higher if a close relative has diabetes.
Waist-to-height ratio of 0.5 or moreA larger waist measurement compared to your height is linked to a greater risk of diabetes.
Asian, Black African, or African Caribbean backgroundPeople from these ethnic groups are at higher risk due to a mix of genetic and lifestyle factors.
High blood pressureOften linked with insulin resistance and an increased risk of type 2 diabetes.
History of gestational diabetesHaving diabetes during pregnancy raises the chance of developing type 2 diabetes later in life.
Long-term use of certain medicinesSome treatments, such as corticosteroids or medicines for HIV, can affect blood sugar control.
Damage to the pancreasInjury or illness affecting the pancreas can reduce insulin production.
Age over 40The risk increases with age, especially from the age of 40 onwards.

Type 2 diabetes is by far the most common form, accounting for around 90% of all diabetes cases in the UK [9].

How is diabetes diagnosed?

Diabetes is usually diagnosed with a blood test that checks how your body manages sugar (glucose). Your GP may use one or more different tests to confirm whether you have diabetes, prediabetes, or normal blood sugar levels. These tests are also used to monitor people at higher risk of developing diabetes.

Diabetes blood test results and what they mean
TestPurposeWhen it’s doneNormal resultPrediabetes rangeDiabetes range
Fasting blood sugar testChecks your blood glucose level after fastingAfter at least 8 hours without food or drink (except water)Below 5.6mmol/L5.6–6.9mmol/L7.0mmol/L or above on two separate tests
HbA1c testShows your average blood sugar level over the past 2–3 monthsNo fasting neededBelow 39mmol/mol (5.7%)39–47mmol/mol (5.7–6.4%)48mmol/mol (6.5%) or above on two tests
Random blood glucose testMeasures blood sugar at any time of dayCan be taken with or without fastingVaries11.1mmol/L or above indicates diabetes
Oral glucose tolerance test (OGTT)Assesses how your body processes glucose over timeAfter fasting, then again two hours after drinking a sugary drinkFasting: below 5.6mmol/L
Two hours: below 7.8mmol/L
Fasting: 5.6mmol/L or above
Two hours: 7.8mmol/L or above

The oral glucose tolerance test is often used to diagnose gestational diabetes during pregnancy [10]. It helps your GP see how your body handles sugar before and after drinking a glucose solution.

If your doctor thinks you might have type 1 diabetes, they may also check your urine for glucose or ketones. The presence of ketones can show that your body is not producing enough insulin to control blood sugar levels properly.

If your results suggest diabetes or prediabetes, your GP will discuss what they mean and explain what happens next. You may need follow-up tests or advice on lifestyle changes, medication, or ongoing monitoring to help manage your blood sugar safely.

How is diabetes treated?

The way diabetes is treated depends on whether you have type 1 or type 2. Both types need ongoing management to control blood sugar levels and lower the risk of complications.

Summary of diabetes treatments

Treatment aspectType 1 diabetesType 2 diabetes
Main treatmentInsulin therapy (injections or pump)Lifestyle changes and medicines such as Metformin
Blood sugar monitoringFrequent daily testing or continuous glucose monitoringRegular home testing or HbA1c checks with a healthcare provider
Dietary focusCarbohydrate counting to match insulin dosesBalanced diet with reduced sugar and refined carbohydrates
Possible devicesInsulin pump, continuous glucose monitorBlood glucose monitor, test strips

Treating type 1 diabetes

Type 1 diabetes is managed with insulin to replace the hormone your body no longer produces. Your healthcare team will help you calculate your insulin doses, check your blood sugar and recognise signs of low blood sugar (known as hypoglycaemia). You’ll also learn how to treat a hypo quickly and safely.

Insulin can be taken as daily injections using a pen or syringe, or through an insulin pump. Pumps deliver a steady supply of insulin, and some connect to continuous glucose monitors (CGMs) that automatically adjust doses. This setup is called a hybrid closed loop system.

Alongside insulin, you’ll need to check your blood glucose regularly and count the carbohydrates in your meals and drinks so your insulin doses match what you eat.

Regularly monitoring your blood glucose levels

The NHS recommends checking your blood sugar at least four times a day (five times for children) [11], including before meals and at bedtime. You might need to test more often when you’re unwell, exercising or drinking alcohol.

  • Blood glucose monitor
  • Diabetes lancets
  • Test strips

Many people are eligible for continuous glucose monitors on the NHS [12], which make tracking sugar levels easier and reduce the need for finger-prick testing.

Carbohydrate counting

Carbohydrates are broken down into glucose, which affects your blood sugar levels. Learning to count carbohydrates helps you match your insulin doses more accurately and keep your levels stable throughout the day.

Treating type 2 diabetes

Type 2 diabetes is often managed first through healthy lifestyle changes to improve blood sugar control and overall wellbeing. If these changes aren’t enough, medication may be prescribed to help manage glucose levels.

Lifestyle changes for type 2 diabetes

GoalHow to achieve it
Healthy eatingFollow a balanced diet with vegetables, lean protein and wholegrains
Limit processed foodsCut down on foods high in salt, sugar and saturated fats
Stay activeAim for at least 150 minutes of moderate activity each week
Healthy weightWork towards a healthy BMI through diet and regular exercise
Stop smokingUse NHS support services to help you quit
Reduce alcoholKeep within the recommended 14 units per week

These steps can help lower blood sugar and, in some cases, return it to a normal range. They can also prevent prediabetes from progressing to type 2 diabetes.

Medicines for type 2 diabetes

Metformin is usually the first medicine prescribed for type 2 diabetes. It helps lower blood sugar by improving how your body responds to insulin. If metformin isn’t enough on its own, your healthcare provider may recommend insulin or other medicines such as Ozempic.

Metformin and insulin can also be used to manage gestational diabetes if lifestyle measures alone don’t control blood sugar effectively.

Common side effects of diabetes medicines

The side effects of diabetes medicines depend on the type of treatment you take. Many people experience mild symptoms such as stomach upset, low blood sugar or changes in weight. These effects can often be eased by adjusting your diet, exercise routine or by changing your medication under medical guidance.

Type of Diabetes MedicineCommon Side EffectsSerious or Rare Side Effects
Metformin (Biguanides)Diarrhoea, nausea, vomiting, gas, bloating, stomach pain, metallic taste, loss of appetite.Lactic acidosis (a rare but serious build-up of lactic acid), Vitamin B12 deficiency.
Sulfonylureas (e.g. Gliclazide)Low blood sugar (hypoglycaemia), weight gain, nausea, skin rash.Liver issues, possible effects on heart function.
SGLT2 Inhibitors (e.g. Dapagliflozin, Empagliflozin)Passing urine more often, genital yeast infections, urinary tract infections (UTIs), thirst, dizziness.Diabetic ketoacidosis (DKA), dehydration, Fournier’s gangrene (a serious genital infection).
GLP-1 Receptor Agonists (e.g. Semaglutide)Nausea, vomiting, diarrhoea, constipation, indigestion, redness or irritation at the injection site.Pancreatitis, gallbladder problems, kidney issues.
DPP-4 Inhibitors (Gliptins)Blocked or runny nose, sore throat, headache, upset stomach, diarrhoea, joint pain.Acute pancreatitis, liver issues, severe allergic reactions.
Thiazolidinediones (Glitazones)Weight gain, fluid retention, chest or sinus infections, bone fractures.Heart failure, macular oedema, higher risk of bladder cancer (pioglitazone).
InsulinLow blood sugar (most common), weight gain, thickened or irritated skin where injected.Severe allergic reaction.

If you notice any side effects, especially new or worsening symptoms, speak to your doctor, pharmacist or diabetes nurse. Never stop or change your medication without professional advice.

Frequently Asked Questions

Below we answer your most commonly asked questions about diabetes:

Can Weight Loss Medication Help Treat Diabetes?

Some medicines developed for type 2 diabetes can also support weight loss. These are called glucagon-like peptide-1 receptor agonists, or GLP-1 medicines. They work by copying a natural hormone released after eating, helping you feel full for longer, manage appetite and control blood sugar levels. A newer option, tirzepatide (sold as Mounjaro), targets an additional hormone that helps regulate appetite and glucose. Although they are often called weight loss injections in the media, not all GLP-1 medicines are approved for this purpose.

In the UK, the Medicines and Healthcare products Regulatory Agency (MHRA) has licensed several GLP-1 medicines, including semaglutide (Wegovy, Ozempic, Rybelsus), tirzepatide (Mounjaro), liraglutide, exenatide (Bydureon) and dulaglutide (Trulicity). Being licensed means that a medicine has been carefully reviewed for specific approved uses. The MHRA has not assessed these medicines for unapproved uses, such as weight loss for cosmetic reasons.

GLP-1 Medicines and their approved uses

GLP-1 medicines can be prescribed for type 2 diabetes and, in some cases, for weight management in people who meet certain health criteria.

  • Mounjaro (tirzepatide) – A weekly injection used to treat type 2 diabetes. It is also approved on the NHS for weight loss in eligible adults.
  • Wegovy (semaglutide) – A weekly injection licensed for weight loss in adults with obesity or those who are overweight and have weight-related health conditions. It is also approved to help reduce the risk of heart attack and stroke in these groups.
  • Ozempic (semaglutide) – A weekly injection licensed only for the treatment of type 2 diabetes.
  • Rybelsus (semaglutide) – A daily tablet for type 2 diabetes management.
  • Saxenda (liraglutide) – A daily injection for weight management in people who meet specific eligibility criteria.
  • Bydureon (exenatide) and Trulicity (dulaglutide) – Weekly injections prescribed for type 2 diabetes.

Although many GLP-1 medicines are given as injections, they are not the same as insulin.

 Licensed for Type 2 Diabetes (with diet and exercise)Licensed for Weight Loss or Management (with diet and exercise in obesity or overweight with health risks)
Semaglutide
(Wegovy)
NoYes*
Semaglutide
(Ozempic and Rybelsus)
YesNo
Tirzepatide†
(Mounjaro)
YesYes
Liraglutide
(various brands)
Brand specific – see leafletBrand specific – see leaflet

*Wegovy can also help lower the risk of heart attack and stroke in certain patients.

†Mounjaro is a dual GLP-1 and GIP receptor agonist.

Prescription and Safety Information

All GLP-1 medicines are prescription-only. They must be prescribed by a qualified healthcare professional after an appropriate medical consultation. NHS access depends on eligibility and local criteria, while private prescriptions follow the same medical checks and require approval from a prescriber.

You should never buy these medicines from unregulated sources such as social media, beauty salons or unauthorised websites. Counterfeit and unsafe versions exist and can be harmful. Genuine GLP-1 medicines are supplied as pre-filled injection pens. If you see powders for mixing or suspicious packaging, they are not genuine. Always obtain your medicine from a registered pharmacy and check the General Pharmaceutical Council (GPhC) or the Pharmaceutical Society of Northern Ireland (PSNI) to verify that the pharmacy is legitimate.

Why does diabetes affect your feet?

Diabetes can cause problems with blood flow and damage the nerves in your feet and legs (diabetic neuropathy) [13]. This happens when high blood sugar levels affect the blood vessels and nerves over time. Poor circulation makes it harder for cuts or sores to heal and can lead to pain or swelling. Nerve damage, known as diabetic neuropathy, can cause tingling, burning or numbness, meaning you might not feel an injury straight away. Because of this, even small cuts or blisters can become infected. It’s important to check your feet every day and get any issues treated quickly to prevent complications.

Can you use Footner socks if you have diabetes?

No, it’s not recommended to use Footner socks if you have diabetes. These exfoliating socks can sometimes irritate or damage the skin, which may lead to complications if you have reduced sensation or circulation in your feet. If you have diabetes and want to try a new foot care treatment, it’s best to speak to your doctor or podiatrist first. They can help you find a safe and suitable option for your needs.

What is a diabetes sweetener?

A diabetes sweetener is a sugar substitute that helps people manage their blood sugar levels without adding extra calories [14]. These include artificial options like Canderel, Splenda and Sweetex, which are considered safe for people with diabetes when used sensibly. There are also natural alternatives, such as Stevia, which come from plant extracts and contain no calories. Using these sweeteners can make it easier to enjoy sweetness while keeping blood sugar under control.

What is a ketone strip?

Ketone strips are simple testing tools used to check for ketones in your blood or urine. Ketones are chemicals your body makes when it starts breaking down fat for energy instead of using glucose [15]. High levels of ketones can mean that your body does not have enough insulin, which can increase the risk of a serious condition called diabetic ketoacidosis (DKA). You can test for ketones either by using a finger-prick blood sample or by passing urine over a test strip and checking the colour change.

What is continuous glucose monitoring?

Continuous glucose monitoring, often called CGM, is a way to keep track of your blood sugar levels all day and night without needing frequent finger-prick tests.

  • A tiny sensor is placed just under your skin, usually on your arm, and it can stay there for up to 14 days.
  • The sensor measures your glucose levels and sends the information straight to your phone or reader.
  • Devices such as the FreeStyle Libre 2 can also alert you if your blood sugar goes too high or too low, or if there is a connection issue.
  • CGM can be used by people with both type 1 and type 2 diabetes to help manage their condition more easily and accurately.

How can I check my blood sugar without finger pricking?

You can keep track of your blood sugar using a flash glucose monitor. This small sensor sits on your skin and measures the glucose levels in the fluid just under it, known as interstitial fluid, rather than using a blood sample from your finger. The readings may take a little longer to show changes after eating or physical activity, but it's a simple and less painful way to monitor your glucose if you prefer to avoid finger pricks.

What is the best blood sugar monitor?

The right blood sugar monitor for you depends on your daily routine, comfort level, and how you prefer to check your glucose. Traditional finger-prick monitors are reliable but involve taking small blood samples several times a day. Newer, minimally invasive devices can scan your skin to give near-instant readings, although their sensors can sometimes be less consistent. Continuous Glucose Monitors (CGMs) track your glucose levels automatically throughout the day and night, offering real-time data with very little effort.

What is the best time to check blood sugar?

For the most accurate results, check your blood sugar before meals, after exercise, and before going to bed [16]. A fasting reading, taken before eating or drinking in the morning, gives a clear picture of your baseline glucose level. If you’re testing after a meal, it’s best to wait around two hours to see how your body has responded to the food.

Our Commitment to Accurate and Reliable Information

At UK Meds, we take great care to provide accurate, trustworthy and up-to-date information about health, wellbeing and medical treatments. Our approach follows strict quality standards set out in our Editorial Policy and Content Policy.

All our articles are regularly reviewed by qualified professionals and updated when needed to make sure the information you read reflects the latest medical guidance. This helps you make confident, informed decisions before starting an online consultation with a registered independent prescriber for any treatment you may require.

However, the content on our website should never replace advice from a medical professional. Always speak to your GP, pharmacist or another qualified healthcare provider before starting any new medicine or making changes that could affect your health or lifestyle.

Page last updated: 12th November 2025

Sources:

Author

Content author

Scott Weaver

Medical Content Writer • Bachelor of Arts Degree

Scott is an experienced, skilled medical content writer dedicated to creating helpful and accessible health and wellbeing content for UK Meds.

Read more

Medically Reviewed By:

Medically Reviewed By:

Alexis Missick

General Practitioner (GP) • MBChB

With over a decade of experience in the NHS and six years internationally, Alexis is a seasoned General Practitioner hailing from Turks and Caicos.

Read more

Medication delivered the next day from UK pharmacies

https://www.datocms-assets.com/64338/1646649083-slide_one.png
https://www.datocms-assets.com/64338/1646649136-slide_two.png
https://www.datocms-assets.com/64338/1646649148-slide_three.png
  1. Choose the right treatment

    From the comfort of your own home or out on the go, choose the treatment you require from our extensive range.

  2. Complete an online consultation

    A vital part of our process, your online consultation will be similar questions to that of a GP. Quick and easy, we guarantee privacy and confidentiality.

  3. Delivered discreetly

    One of over 100 of our partner regulated UK pharmacies will dispense and ship the treatment to you in discreet packaging.

See how our service works in detail

Rated 4.6 out of 5 on Feefo

starstarstarstarstar
4 days ago
Great service.

Great service.

starstarstarstarstar
5 days ago
Ease of use ,delivery great , site e...

Ease of use ,delivery great , site easy to navigate

starstarstarstarstar
6 days ago
The service was quick professional

The service was quick professional

starstarstarstarstar
6 days ago
Just signed up with UK meds. Fantasti...

Just signed up with UK meds. Fantastic service and straightforward to get the meds that you need. Fast delivery within 24 hours so takes the worry about getting your meds away and you can get on with your life instead! Really enjoy the outstanding aftercare where they send updates and information about your condition and helpful information. Website and account very easy to use.

Rated 4.6 out of 5 based on 6784 reviews

Here to help you

Our Customer Service is available Monday to Friday 9am - 5pm. If you need urgent assistance, do not use this service. Call 111, or in an emergency call 999. Visit our help section