ada4 Flashcards
What are α-Glucosidase inhibitors used for?
They improve glycemic control by reducing postprandial glycemic excursions and glycemic variability.
Which glucose-lowering medications are not commonly used in the U.S. and Europe?
Meglitinides, colesevelam, quick-release bromocriptine, and pramlintide.
What were the greatest reductions in HbA1c seen with in a network meta-analysis?
Insulin regimens and GLP-1 RA.
Which glucose-lowering therapy is associated with the greatest reduction in body weight?
Subcutaneous semaglutide.
Which glucose-lowering therapy is associated with the greatest reduction in blood pressure?
SGLT2i and GLP-1 RA classes.
Which glucose-lowering therapy is associated with the greatest reduction in blood pressure?
SGLT2i and GLP-1 RA classes.
How does combination therapy benefit diabetes care?
It increases durability of the glycemic effect, targets multiple pathophysiological processes, reduces medication burden, and provides complementary clinical benefits.
What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?
Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).
What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?
Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).
What was the primary outcome of the Glycemia Reduction Approaches in Diabetes study?
Time to metabolic failure, defined as an HbA1c level ≥53 mmol/mol (≥7%).
Which medications were more effective at achieving and maintaining HbA1c targets in the Glycemia Reduction Approaches in Diabetes study?
Insulin glargine and liraglutide.
Which glucose-lowering therapy is prioritized in people with established cardiovascular disease?
GLP-1 RA.
Which glucose-lowering therapy is prioritized in people with heart failure or chronic kidney disease?
SGLT2i.
What factors should be considered when choosing glucose-lowering therapy for people with cardiorenal comorbidities?
Presence of cardiovascular disease, use of background therapy with metformin, stage of CKD, history of heart failure, and age.
What does ACEi stand for in the context of glucose-lowering medication management?
Angiotensin-converting enzyme inhibitor.
What does ASCVD stand for in the context of glucose-lowering medication management?
Atherosclerotic cardiovascular disease.