Diabetes Flashcards
List the drugs that belong to Sulfonylureas
2nd:Glipizide, Glyburide, and 3rd:Glimepiride
List the drugs that belong to PPAR-γ
Pioglitazone (Actos)
Rosiglitazone (Avandia)
List the drugs that belong to Alpha- glucosidase inhibitors
Acarbose and Miglitol
List the drugs that belong to Biguanides
Metformin
List the drugs that belong to Dipeptidyl peptidase 4 inhibitors
SITA-gliptin
SAXA-gliptin
List the drugs that belong to Glucagon like peptide (GLP)analogs
GLP 1 analogs:
EXENA-tide,
LIRAGLU-tide
SEMAGLU-tide (ozempic)
Thia-zo-lidine-diones drug class is the same as
Peroxisome proliferator activated receptor
MOA of Insulin
Insulin binds to insulin receptor on the plasma membrane and activate tyrosine kinase in adipose, liver and SkM
MOA of Sulfonylureas
increase insulin sensitivity from pancreatic B cells, stimulate pancreatic insulin release.
MOA of PPAR–γ inhibitors
increase insulin sensitivity in peripheral tissue
MOA of Alpha-glucosidase inhibitors
Delays the absorption of glucose from the intestines
MOA of Biguanides
reduce hepatic glucose production and increase insulin sensitivity in muscles,
Reduce bio-synthesis of glucose in the liver.
MOA of Dipeptidyl peptidase 4 inhibitors
increase and prolongs the action of incretin hormones, enhancing insulin secretion and decreasing glucagon secretion
MOA of GLP-1 receptor agonist
enhance glucose- dependent insulin secretion and reduce glucagon secretion
Common side effects of Insulin
Hypoglycemia
Common side effects of Sulfonylureas
Hypoglycemia, wt gain
Common side effects of PPAR–γ activators
wt gain, fluid retention and risk of Fx
Common side effects of Alpha-glucosidase inhibitors
flatulence, diarrhea, stomach pain
Common side effects of Biguanides
Upset stomach, lactic acidiosis (rare)
Common side effects of Dipeptidyl peptidase 4 inhibitors
Upper respiratory tract infection, headache and pancreatitis (rare)
Common side effects of glucagon like peptide analogs
Nausea/vomiting, diarrhea, and risk of pancreatitis.
MOA of Alpha glucoside inhibitors
inhibit Alpha glucosidase which converts dietary starch and complex cards into simple sugars
Main differences btwn DM I vs DM II
etiology, age range,
Oral anti-diabetic drugs (STABMM)
Sulfonylureas, Thiazolidinediones, Acarbose, Biguanides, Meglitinide, and Miglitol
Signs and symptoms of hypoglycemia
sweating, dizziness, confusion, tachycardia, and tremors.
How does anti-diabetic meds influence pt response to PT/ exercise
exercise may lower blood sugar.
What steps would you take if a pt is experiencing a hypoglycemia episode
snackies