DM 2 Oral Agents Flashcards
Insulin secretagogues
Sulfonylureas
Meglitinides
MOA
Insulin secretagogues
Increases insulin secretion by inhibiting Beta-cell K-ATP channels
SE
Insulin secretagogues
Hypoglycemia
Weight gain
Biguanides
Metformin
MOA
Metformin
Stimulates AMPK (AMP activated kinase), decreasing glucose production and insulin resistance
SE
Metformin
Lactic acidosis
Thiazolidinediones
Pioglitazone
Rosiglitazone
MOA
Thiazolidinediones
Activates transcription regulator PPAR-gamma (peroxisome proliferator activated receptor), decreasing insulin resistance
SE
Thiazolidinediones
Fluid retention/HF
Weight gain
GLP-1 agonists
Exenatide
Liraglutide
MOA
GLP-1
Increases glucose-dependent insulin secretion, decreases glucagon secretion, delays gastric emptying
SE
GLP-1 agonists
Pancreatitis
DPP4 inhibitors
Sitagliptin
Saxagliptin
MOA
DPP4 inhibitors
Increases endogenous GLP-1 and GIP levels
SE
DPP4 inhibitors
Nasopharyngitis