diabetes Flashcards

1
Q

Metformina accion

A

activacion de AMPK inhibiendo complejo 1 cadena respiratoria

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2
Q

biguadinas

A

metformina

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3
Q

metformina RAM

A

Diarrea y molestias
Acidosis lacticas
Deficit de B12 y acido fólico

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4
Q

sulfunilureas

A

Glibenclamida
Glipizida

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5
Q

sulfunourea o glibenclamida accion

A

inhibicion canala K/ATP de celula pancreatica, ingreso de calcio y secrecion de insulina

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6
Q

Glibenclamida RAM

A

Hipoglicemia
aumento de peso

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7
Q

contraindicaicon Metformina

A

VFG <30
Enfermedad hepática
hipoxemia crónica

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8
Q

contraindicacion Sulfunoureas o glibenclamida

A

VFG < 45
Insuficiencia hepática

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9
Q

inhibidor de DPP4

A

sitagliptina
Saxagliptina

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10
Q

accion de DPP4

A

prolonga vida media de GLP1, inhibe DPP4 dando efecto incretina

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11
Q

RAM de saxagliptina o Semaglutide

A

Vomitos y nauseas

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11
Q

Contrindicacion IDPP4

A

Cancer de tiroides
Pancreatitis

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12
Q

contraindicacion de GLP1

A

Cancer de tiroides
VFG<30

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13
Q

GLP1 nombres

A

semaglutide
Liraglutide

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14
Q

Accion de semaglutide

A

agonista receptor GLP1

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15
Q

efecto de GLP1 y DPP4

A

estimula secrecion de insulina, inhiben secrecion de glucagon y disminuye vaciamiento gástrico

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16
Q

iSGLT2

A

empaglifozina
Dapaglifozina
Pioglifozina

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17
Q

empaglifozina accion

A

inhibe reabsorciond e glucosa de TCP y aumenta excrecion de glucosa en la orina y sodio

18
Q

RAM de dapaglifozina

A

itu
Deshidratacion
Cetoacidosis

19
Q

activadores PPARy

A

pioglitazona
Rosiglitazona

20
Q

RAM de pioglitazona

A

aumento de peso
edema
Empeora IC
Riesgo de fracturas óseas

20
Q

accion de rosiglitazona

A

ligando sisntético de PPARy captando acidos grasos y aumenta sensibilidad a la insulina y suprime acciond e glucagon

21
Q

inhibidores de a glucosidasa

21
Q

accion de acarbosa

A

inhibe la a glucosidasa, y genera menor absorciond e carbohidratos

22
RAM de inhibidor de a glucosidasa
Dolor abdominal diarrea obstruccion intestinal
23
insulina en higado sisntesis de acidos gracos glucogeno gluconeogenesis
+ sisntesis de acidos gracos + glucogeno - gluconeogenesis
24
insulina en tejido adiposo Sintesis de acidos grasos lipolisis
+ sisntesis de acidos grasos - lipolisis
25
musculo inuslina sisntesis de glucógeno Glut 4
+ sisntesis de glucógeno + Glut 4
26
RAM insulinas
hipoglicemias lipodistrófia (inyeccion )
27
insulina basal humana intermedia
Intermedia NPH
28
NPH
Humulin insuman N Insulatard
29
peak de Humulin
8 - 12 hrs
30
admininstracion de Humulin o inuman N
ayuno o antes de acostarse
31
prolongada basal
Detemir Glargina 100
32
peak de glargina 100 y detemir
no tiene peak
33
administracion de detemir o glargina 100
1 - 2 veces día
34
cristalina
rápida humana
34
cristalina
humulin Actrapid HM insuman
35
administracion cristalina
30 min antes de comer
36
peak de humalin Actrapid
2- 3 hrs
37
´rapida analoga
insulina Aspartica lispro Glusina
38
administracion lispro o aspártica
15 min antes de comer
38
peak lispro o aspártica
30 a 90 min