Diabetes drugs Flashcards
Dapagliflozin drug class?
SGLT2 inhibitor
Pioglitazone drug class
TZDs
Names of DPP4 inhibitors
‘gliptins’
sitagliptin
Names of SGLT2 inhibitors
‘flozins’
dapagiflozin, canagiflozin
Indications for starting SGLT2 inhibitors 1st line at the same time at metformin
established CVD, CHF, or Qrisk score >10%
Sulphonylurea drug classes
Gliclazide
Name of GLP1 mimetic drug
Semiglutide
MoA of GLP1 mimetics
stimulate release of insulin
MoA of DDP4 inhibitors
incream levels of GLP1 and GIP which in turn stimulate the release of insulin
Metformin side effects
GI upset
Lactic acidosis
Suphonylurea side effects
hypos
Increased appetite and weight gain
Pioglitazone side effects
fluid retention
fractures
weight gain
goal HbA1C (depending on whether they are on hypoglycaemics or not)
53 is they’re on hypoglycaemics,
48 if they are not
When to consider adding metformin in pts with T1DM
BMI >25
sulphonylureas MoA
increase secretion of insulin by pancreatic beta cells