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Dr. Banita Sehgal
Internal Medicine Physician
My approach to healthcare is rooted in building genuine partnerships with my patients.
Taking the time to understand their needs and goals helps us collaborate effectively and find the best path forward together. What I love most about my work is being someone they can count on — familiar, accessible, and focused on their well-being.
Frequently asked questions
Glipizide may be right for you if you have type 2 diabetes and need additional help lowering your blood sugar. If lifestyle changes and other medications have not worked for you, glipizide may be a suitable option.
You should not take glipizide if any of the following apply to you:
- You have type 1 diabetes (glipizide should only be taken by those with type 2 diabetes, since it replies on the body’s ability to make insulin
- You have a history of severe allergic reactions to glipizide or other sulfonylureas
- You are experiencing diabetic ketoacidosis (DKA), a serious condition that requires insulin and emergency care, not oral diabetes medication
- You have liver or kidney disease, which may affect how your body processes the drug and increase your risk of side effects
- You’re pregnant or breastfeeding
It’s also used cautiously in older adults because they’re more sensitive to the risk of hypoglycemia (low blood sugar). Be sure to speak to your healthcare provider before starting glipizide to determine if it’s a safe and effective choice for you.
Glipizide stays in your system for about 24 hours, but its effects typically wear off sooner. Its half-life is around two to five hours, meaning your body clears it relatively quickly compared to other diabetes medications. However, the blood sugar-lowering effects can last for up to a full day, especially with extended-release versions.
Yes, glipizide can cause weight gain in some people. This is a known side effect of sulfonylurea medications, the class that glipizide belongs to. glipizide stimulates your pancreas to make more insulin, and insulin helps your body store sugar and fat. When your insulin levels go up, your body may store more energy than it burns. This leads to weight gain especially if you’re not making changes to your diet or activity levels.
Not everyone gains weight on glipizide, but if it becomes a concern for you, be sure to reach out to your provider. Your provider may recommend adjusting your dose, combining it with another medication (like metformin, which may promote weight loss), or exploring different options.
Glipizide and glimepiride both treat type 2 diabetes by helping the pancreas release insulin. Glipizide works faster and doesn’t last as long, so it’s often safer for older adults. Glimepiride is stronger and lasts longer, but may raise the risk of low blood sugar.
Glyburide and glipizide are both used to treat type 2 diabetes, but glipizide has a shorter duration so it’s less likely to cause low blood sugar – especially in older adults. It’s also typically a safer choice for people with kidney issues. Since glyburide is stronger and longer-acting than glipizide, there’s a higher risk of hypoglycemia involved.
Yes, glipizide and metformin are often taken together, and this combination is actually quite common in the treatment of type 2 diabetes. They work in different ways:
- Glipizide helps your pancreas release more insulin.
- Metformin helps your body use insulin more effectively and reduces the amount of sugar your liver makes.
Together, they can provide better blood sugar control than either medication alone – especially if your blood sugar has been difficult to manage with just one medication.
Your healthcare provider will usually start with one medication and add the other if needed, carefully adjusting the dose to reduce the risk of side effects like low blood sugar (from glipizide) or digestive issues (from metformin).
If you're prescribed both, it’s important to follow your dosing schedule, monitor your blood sugar regularly, and let your LifeMD-affiliated provider know if you experience any side effects or changes in how you feel.
Yes, glipizide and Ozempic (semaglutide) can be taken together. These two medications can be combined to significantly improve blood sugar control.
Please note that both medications increase insulin activity and taking them together can raise the risk of low blood sugar (hypoglycemia) – especially if you’re on a higher dose of glipizide. Your healthcare provider may need to adjust your glipizide dose when starting Ozempic to reduce this risk.
If you're using both, it’s important to:
- Take them as prescribed
- Watch for signs of low blood sugar (like shakiness, dizziness, sweating)
- Keep your doctor in the loop about any changes in how you feel
Glipizide stays in your system for about 24 hours, but its effects can last longer – especially when taken regularly. Its half-life (the time it takes for half the drug to leave your body) is around 10 hours, but since it’s metabolized slowly and can build up, the risk of low blood sugar can linger well beyond a single dose.
Even if you stop taking it, the blood sugar-lowering effects may stick around for a day or more.
It’s best to take glipizide with food, usually right before or with your first meal of the day. Taking it on an empty stomach can increase your risk of low blood sugar since the medication starts working even if there’s no food in your system to raise your blood sugar levels.
Eating helps balance the effects of glipizide, making it safer and more effective. If you skip a meal after taking it, you may feel shaky, dizzy, or lightheaded – common signs of low blood sugar.
If you ever forget to eat after taking glipizide or accidentally take it on an empty stomach, keep a quick source of sugar on hand (like glucose tablets or juice), and talk to your provider if it happens often.
The most common side effects of glipizide are usually mild but can be important to watch for. These include:
- Low blood sugar
- Weight gain
- Nausea or upset stomach
- Headache
- Allergic reactions
If you notice signs of very low blood sugar (like confusion, blurred vision, or fainting), or any unusual symptoms that concern you, it’s a good idea to check in with your healthcare provider. They may need to adjust your dose or help you manage side effects more effectively.
LifeMD offers patients access to licensed healthcare providers who can offer guidance on healthcare concerns. Through our virtual platform, you can schedule same-day appointments and meet with a medical professional from the comfort of your home.
Your healthcare provider may prescribe you a medication if appropriate, and order it to your local pharmacy for your convenience. Skip the waiting room with LifeMD, make an appointment today to get started.