Anti diabetic drug Flashcards

1
Q

3 classes of anti-diabetic drug

A

1.insulin sensitizer
2.insulin secretagogues
3.alpha glucosidase inhibitor

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2
Q

classification of anti-diabetic drug

A

1.sulfonylureas
2.meglitinides
3.biguanides
4.thiazolidinediones
5.alpha-glucosidase inhibitors.

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3
Q

what is sulfonylureas, and example of drug

A

-it promotes insulin release from B-cell
-ex: tolbutamide,glyburide, glipizide,glimepiride

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4
Q

what is meglitinide, and what example

A

it promotes insulin release from the beta cells, by closing the ATP-dependent K+ channel in pancreatic beta cells. this will result in the depolarization of B cells, calcium channel opening, and calcium influx.
-repaglinides
-nateglinides

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5
Q

what is biguanides, and what example

A

-insulin sensitizer
-by inhibiting hepatic gluconeogenesis, decreasing intestinal absorption of carbs, decreasing hyperlipidemia, decreasing cvs mortality
-metformin

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6
Q

what is thiazolidinedione and what example

A

-insulin sensitizer, by activating PPAR-gamma, then, agents that bind to PPAR-gamma will increase insulin sensitivity
-pioglitazone
-rosigglitazone

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7
Q

what is alpha-glucosidase inhibitor

A

inhibit the action of alpha-glucosidase enzyme in the small intestine, resulting in a delay of digestion and absorption of carbs.

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8
Q

type of insulin

A

1.rapid acting insuline (glulisine,lispro,aspart)

2.short-acting (homulin R, novolin R)

3.int-acting (Neutral Protamine Hagedorn NPH)

4.Long acting (Detemir, Glargine)

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