Sulfonylureas are oral hypoglycemic drugs that are commonly used to treat diabetes mellitus. They work by binding to and closing ATP-sensitive potassium channels on pancreatic beta cells, which increases insulin secretion. The main types are first generation drugs like tolbutamide and second generation drugs like glimepiride. Side effects include low blood sugar, weight gain, and skin reactions. Drug interactions can increase or decrease the activity of sulfonylureas.