Diabetes Medications Flashcards

1
Q

1 st line T2DM

A

Metformin

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2
Q

2nd line T2DM

A

Metformin + DPP OR Pioglitazone OR SU OR SGLT

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3
Q

3rd line T2DM

A
  • triple therapy (metformin + any 2)

- insulin

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4
Q

Metformin action

A

decrease insulin resistance
decrease HbA1C
prevents vascular complication
Decrease triglycerides + LDL

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5
Q

Metformin side effects

A

GI upset
Rash
Lactic acidosis
Liver failure

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6
Q

Metformin class

A

biguanides

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7
Q

Sulphonylurea drug name

A

Gliclazide

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8
Q

Sulphonylurea action

A

increase insulin from Bcells

prevents microvascular complications

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9
Q

Sulphonylurea side effect

A

weight gain

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10
Q

Thiazolidinedione (TZD) drug name

A

Pioglitazone

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11
Q

TZD (pioglitazone) side effects

A

Increase fractures, HF + cancer
weight gain
NO >65s

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12
Q

DDP4 inhibitors drug name

A

Sitagliptin

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13
Q

DDP4 inhibitors action

A

blocks enzyme which destroys incretin

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14
Q

DDP4 inhibitors side effect

A

HF risk

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15
Q

SGLT drug name

A

dapagliflozin

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16
Q

SGLT action

A

blocks reabsorption of glucose in proximal tubule

17
Q

SGLT side effect

A

increases risk of UTIs

18
Q

Devices to administer insulin

A

Syring
disposable pen
cartrideg pen
continuous subcutaneous pump

19
Q

Rapid acting insulin examples and onset

A

15 mins (peak = 1-2 hours)
Novorapid
Humalog

20
Q

Short acting insulin examples and onset

A

30-60mins (peak 2-4 hours)
Actrapid
Humulin S

21
Q

Basal (intermediate acting) insulin examples and onset

A

1-3 hours
Insulatard
Humulin I

22
Q

Humalog Mix 25 (rapid intermediate)

A

25% short acting - 75% intermediate acting

23
Q

Basal bolus regime

A

short acting before meals + long acting before bed

24
Q

Long acting human insulin injection name

A

Ultratard

25
Q

Long acting insulin analogue

A

Lantus

Levemir

26
Q

Good drug for dealing with peripheral neuropathy

A

Amitryptiline