Diabetes Drugs I Flashcards

1
Q

Describe the general treatment strategy for patients with DM type I.

A

Low sugar diet, insulin replacement (p.305)

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2
Q

Describe the general treatment strategy for patients with DM type II.

A

Dietary modification and exercise for weight loss, oral hypoglycemics, insulin replacement (p.305)

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3
Q

What are the three rapid-acting insulins?

A

Lispro, Aspart, Glulisine (p.305)

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4
Q

Which insulin is short acting?

A

Regular insulin (p.305)

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5
Q

Which insulin is intermediate acting?

A

NPH (p.305)

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6
Q

Which insulins are long acting?

A

Glargine and Detemir (p.305)

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7
Q

What is the mechanism of action of the Insulin drug class?

A

Binds the insulin receptor (tyrosine kinase activity) (p.305)

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8
Q

What effect does the insulin drug class have on the liver?

A

Increases glucose stored as glycogen (p.305)

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9
Q

What effect does the insulin drug class have on muscle?

A

Increases glycogen and protein synthesis; K+ uptake (p.305)

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10
Q

What effect does the insulin drug class have on fat?

A

Aids TG storage (p.305)

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11
Q

What are the five clinical uses of insulin drugs?

A

Type I DM, Type II DM, gestational diabetes, life threatening hyperkalemia, stress induced hyperglycemia (p.305)

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12
Q

What are the toxicites associated with insulin drugs?

A

Hypoglycemia; very rarely hypersensitivity reactions (p.305)

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13
Q

What drug class does metformin belong to?

A

Biguanides (p.305)

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14
Q

Name the biguanide class drug(s).

A

Metformin (p.305)

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15
Q

What is the mechanism of action of metformin?

A

Exact mechanism is unknown (p.305)

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16
Q

How does metformin affect glucose metabolism?

A

Increases glycolysis, decreases gluconeogenesis, increases peripheral glucose uptake (insulin sensitivity) (p.305)

17
Q

What is the clinical use for metformin?

A

First line therapy in patients with type 2 DM (p.305)

18
Q

How is metformin administered?

A

PO (p.305)

19
Q

Can metformin be used in patients without islet cell function?

A

Yes (p.305)