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Get a Glipizide Prescription with LifeMD

  • Prescription anti-diabetic
  • Treats type 2 diabetes
  • Sold under brand name Glucotrol
4.9
745,000+ Patients Served
What is glipizide?

Glipizide is an anti-diabetic medication used to treat type 2 diabetes. It belongs to a class of drugs called sulfonylureas. Glipizide is an oral medication, typically taken once or twice a day.

How does glipizide work?

Glipizide stimulates your pancreas to release more insulin – the hormone that helps move sugar (glucose) from your bloodstream into your cells for energy. Higher insulin levels help lower high blood sugar. It doesn’t work if your pancreas can’t make insulin (like in type 1 diabetes), and it’s usually taken before meals to time its effects with your blood sugar spikes.

How do I know if I qualify for glipizide?

You may qualify for glipizide if you have type 2 diabetes and need help controlling your blood sugar levels. A healthcare provider typically would prescribe glipizide when diet, exercise, and other first-line treatments (such as metformin) aren’t enough to keep blood sugar in a healthy range. Your LifeMD-affiliated healthcare provider will consider prescribing glipizide if:

  • Your body still makes some insulin (as is typically the case with type 2 diabetes)
  • You’re not reaching your target A1C or blood sugar levels
  • You’re not at high risk for frequent or severe low blood sugar (hypoglycemia)
  • You don’t have significant kidney or liver issues
  • You’re not pregnant or breastfeeding

Because glipizide boosts insulin release regardless of food intake, it's not the best choice for everyone – especially older adults or those prone to hypoglycemia. A healthcare provider can assess your full medical history, current medications, and blood sugar patterns to see if it’s a good fit.

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Meet our expert


My approach to healthcare is grounded in listening, education, and empowering patients to take an active role in their wellness.

I believe virtual care expands access and allows me to support patients with the same compassion and clinical excellence as an in-person visit. My goal is always to meet patients where they are and guide them toward safe, personalized, sustainable health outcomes.

Dina Whiteaker

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Frequently
Asked
Questions

How do I know if glipizide is right for me?

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.

Who should not take glipizide?

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.

How long does glipizide stay in your system?

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.

Does glipizide cause weight gain?

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.

What’s the difference between glipizide and glimepiride?

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.

What’s the difference between glipizide and glyburide?

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.

Can you take glipizide and metformin together?

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.

Can you take glipizide and Ozempic together?

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
Can you take glipizide and insulin together?

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.

Can you take glipizide on an empty stomach?

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.

What are the most common side effects of glipizide?

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.

Can LifeMD prescribe glipizide?

Yes! With LifeMD, you can connect with a licensed healthcare provider from the comfort of your home within an hour. If appropriate, your provider may prescribe glipizide and send it directly to your local pharmacy.

For even more flexibility, a LifeMD+ membership gives you 24/7 access to care, same-day prescription refills, exclusive wellness perks, and easy access to lab testing — all designed to make managing your health simple and stress-free.

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