Contraindications Flashcards
1
Q
Biguanides
A
Renal Impairment Metabolic Acidosis Imaging Dye Hypoxemia Liver Impairment Sepsis CHF
2
Q
SGLT2 Inhibitors
A
Severe renal disease ESRD Dialysis GFR < 30 Hypotension Ketoacidosis Hyperkalemia Acute kidney injury Bone fracture
3
Q
GLP-1 Agonists
A
Gastroparesis
Pancreatitis
*Exenatide: renal insufficiency
*Albiglutide, Duaglutide: renal insufficiency
*Liraglutide: thyroid cancer, endocrine neoplasia
4
Q
DPP-IV Inhibitors
A
T1 DM DKA Pancreatitis HF RF Athralgia
5
Q
Sulfonylureas
A
*Glyburide- avoid in elderly
*Glipizide - start low and go slow
DKA
Severe liver or renal disease
Hypoglycemic unawareness
6
Q
Thiazolidinediones
A
HF (class III or IV)
7
Q
Alpha-Glucosidase Inhibitors
A
Irritable Bowel Disease Short Bowel Syndrome Cirrhosis Colonic Ulceration Partial Intestinal Obstruction Disorders of digestion/absorption
8
Q
Amylin Analog
A
Gastroparesis
A1C > 9%
Unwilling to SMBG
