Are SGLT2 inhibitors or acarbose better at blocking the spike from eating bread?

I think acarbose works more immediately, while SGLT2 inhibitors take some more time to work?

[it’s impt b/c sometimes I’m too impatient to eat]

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Yes, acarbose is faster and much more effective if you’re comparing just one dose of each. The SGLT2 inhibitors are meant as a once daily chronic dose where the medicine reaches steady state and increases glucose excretion 24/7. They aren’t meant for acute dosing like acarbose, which of course works almost immediately but just for that particular meal.

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Yes - I use them the same way. On days when I don’t take the SGLT2i medication, I take acarbose if I’m going to be eating a starchy / higher carb meal - taking it at the start of the meal. That covers you.

Just don’t eat bread.

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