acarbose
The American Diabetes Association's (ADA) guidelines state that       either sulfonylureas, metformin, acarbose, or insulin can be used as first-line       treatment for Type II DM; however, oral agents can be attempted first in most       patients.
The American Diabetes Association's (ADA) guidelines state that       either sulfonylureas, metformin,  @SUBJECT$ , or insulin can be used as first-line        @PREDICAT$  for  @OBJECT$ ; however, oral agents can be attempted first in most       patients.