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Expert Answer: As a type 2 diabetic, what can I take for my migraines?

Having diabetes is a consideration in the use of the acute medications (to stop an attack) and the preventive agents (to reduce the number of attacks)

In terms of the acute medications, the most relevant question is whether your blood vessels are fine, and a cardiac stress test is generally performed before the more specific migraine agents are used, like triptans and ergots.

In terms of the preventive agents, biggest problem is that they generally cause weight gain which is a problem for most of us and especially diabetics. A notable exception is topiramate (Topamax) which commonly causes weight loss and therefore can be very helpful for migraines and weight management.

All of these medications have side effects and problems, which your doctor can go over before they are prescribed.


This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.


  • Mary Alexander Hollingshead
    8 years ago

    Topamax caused shortness of breath with me…scary!

  • Kim Pennell Rogers
    8 years ago

    Topamax caused me to hallucinate and be hospitalized for 4 days.

  • Wendie Schweppe
    8 years ago

    I tried IMITREX and it did nothing for me but make me vomit…I need to find something tho…been suffering with migraines for 30yrs now…after the first time I broke my neck. I feel like they are coming from something to do with my neck injuries? Is that possible?

  • Lori Curran
    8 years ago


  • Dollie Fae
    8 years ago

    I’m going to have to try Topamax…see if my cmsp insurance covers that medicine, and then see if it works for me. I am type 2 diabetic and suffer from migraines constantly. I take imitrex presently.

  • Lori Curran
    8 years ago

    Topamax has side effects worse than the Migrain.

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