Diabetes (more questions) Flashcards
1
Q
Type 2 diabetes, when do u add a second drug?
A
only add a second drug if the HbA1c rises to
58 mmol/mol (7.5%)
2
Q
Treatment of diabetic Neuropathy
what about the rescue therapy?
localised pain?
A
- first-line treatment: amitriptyline, duloxetine, gabapentin or pregabalin
- if the first-line drug treatment does NOT work try one of the other 3 drugs
- tramadol may be used as ‘rescue therapy’ for exacerbations of neuropathic pain
- topical capsaicin may be used for localised neuropathic pain (e.g. post-herpetic neuralgia)
- pain management clinics may be useful in patients with resistant problems
3
Q
what is Gastrointestinal autonomic neuropathy?
symptoms?
Tx?
A
damage to the nerves of the GI system
- symptoms include erratic blood glucose control, bloating and vomiting
- metoclopramide, domperidone or erythromycin (prokinetic agents)
Metoclopramide is a pro-kinetic drug that can improve gastric emptying