Diabetes Medications Flashcards
1 st line T2DM
Metformin
2nd line T2DM
Metformin + DPP OR Pioglitazone OR SU OR SGLT
3rd line T2DM
- triple therapy (metformin + any 2)
- insulin
Metformin action
decrease insulin resistance
decrease HbA1C
prevents vascular complication
Decrease triglycerides + LDL
Metformin side effects
GI upset
Rash
Lactic acidosis
Liver failure
Metformin class
biguanides
Sulphonylurea drug name
Gliclazide
Sulphonylurea action
increase insulin from Bcells
prevents microvascular complications
Sulphonylurea side effect
weight gain
Thiazolidinedione (TZD) drug name
Pioglitazone
TZD (pioglitazone) side effects
Increase fractures, HF + cancer
weight gain
NO >65s
DDP4 inhibitors drug name
Sitagliptin
DDP4 inhibitors action
blocks enzyme which destroys incretin
DDP4 inhibitors side effect
HF risk
SGLT drug name
dapagliflozin