Diabetes Qs Flashcards
CAUSES WEIGHT GAIN
PIOGLITAZONE
SULFONYLUREA
INSULIN
NO WEIGHT CHANGE
METFORMIN
DPP-4 INHIBITORS (GLIPTINS)
CAUSES WEIGHT LOSS
SGLT-2 INHIBITORS
GLP-1 AGONISTS
HIGH HYPOGLYCAEMIA RISK
insulin
MODERATE HYPOGLYCAEMIA RISK
SULFUNOYLUREA (HIGH IN ELDERLY)
LOW HYPOGLYCAEMIA RISK
DPP-4 INHIBITORS (GLIPTINS)
SGLT-2 INHIBITORS
GLP-1 AGONISTS
METFORMIN
PIOGLITAZONE
Insulin + CS
- may require you to increase your insulin requirements
- CS can cause hyperglycaemia
Which insulin is suitable for basal bolus regimen pts who travel frequently across different time zones
o Insulin determir or glargine
Duration of action up to 24h
No pronounced peak of action
When can type 2 diabetic use biphasic regimen?
7.5% - 9.0%
If pt is admitted into hospital which antidiabetic drug should you stop?
Metformin
What type of insulin is degludec
Tresiba
- Long acting
- OD
- Longer duration than other basal insulins
Which cough syrup is safe in diabetics?
Dextromethorphan
What can you use for sore tongue and cracked lips in diabetics?
Biotene: Saliva substitute
Oxybutinin patches
- apply to clean dry unbroken skin on abdomen, hip, buttock
- remove every 3-4 days
- diff area
- avoid same area for 7 days
If a patient 5 years old and below presents with symptoms of hypoglycaemia in an emergency in the pharmacy, what should you do? →
- administer 5g oral glucose liquid
- 1.5 glucose tablets
- half-glucose 40% tube;
- 1 teaspoon sugar (ONLY IF THE PATIENT IS CONSCIOUS)
Ca and Vit D with levothyroxine
Decreased absorption of levothyroxine
Patient requires assistance with injecting insulin
recurrent symptomatic hypoglycaemia
Which insulin?
- Determir or glargine
- OD
Pregnant woman, metformin is not sufficient
Rapid acting insulin
Lispro
Aspart
Glulisine
lower risk of hypo
Sick day rules insulin
- Insulin requirements can increase
- Keep taking insulin - even if you don’t eat as much adjust dose as necessary
- Test glucose more regulary
- Check ketones
Steroids and diabetes
Steroids can increase blood sugar
