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%)

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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
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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

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