Diabetes Tx Flashcards
what is a non-pharm intervention for treating diabetes?
modifying lifestyle; improve diet, weight loss, activity
what is a pharm intervention?
glycemic control with drugs (oral hypoglycemics)
what are the actions of oral hypoglycemics?
1) stimulates release of insulin from beta cells
2) increase tissue response to insulin
3) decrease hepatic glucogenesis
4) delays breakdown and absorption of CHO from intestine
5) blocks enzyme DPP-4. which increases relase of insulin after a rise in BG
what is the common oral hypoglycemic?
metformin
when would you give metformin?
if HbA1c is >7% after 2-3 months of lifestyle modification
when would you give metformin AND insulin?
if HbA1c is >= 9%