Diabetic treatments Flashcards
1
Q
Alpha Glucosidase inhibitor (OHA) mechanism of action
A
- Prevent intestinal breakdown of polysaccharides
- Reduce absorption of sugars
- Does not cause hypo on its own
2
Q
Biguanides (OHA) mechanism of action
A
- Metformin
- Increases insulin sensitivity
- Reduces gluconeogenesis
- Does not cause hypos
- Causes weight loss
2
Q
Biguanides (OHA) mechanism of action
A
- Metformin
- Increases insulin sensitivity
- Reduces gluconeogenesis
- Does not cause hypos
- Causes weight loss
3
Q
Side effects of metformin
A
- Could cause lactic acidosis- avoid in renal, hepatic heart failure
- GI side effects
4
Q
How does metformin cause lactic acidosis (renal metabolism)
A
The lactic acid is caused by intestinal non oxidative glucose metabolism
5
Q
Sulfonylureas (SFUs) mechanism of action
A
- Stimulate B-cells to secrete insulin
- May reduce insulin resistance
- 1st, 2nd and 3rd generation
6
Q
Side effects of sulfonylureas
A
- Flushing
- Hypos
- Weight gain
- Hyponatremia