DM Pharm Trends/Summary Flashcards

1
Q

High A1C lowering

A

Metformin
SUs/Non SUs
GLP-1 agonists

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2
Q

Medium A1C lowering

A

TZD

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3
Q

Low A1C lowering

A

DPP-4 Inhib

SGLT-2 Inhib

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4
Q

Weight loss

A

GLP-1 agonists
SGLT-2 inhib
Metformin

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5
Q

Weight neutral

A

DPP-4 inhib

Metformin

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6
Q

Weight gain

A

TZD
SUs
Non-SUs

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7
Q

Risk factors for Lactic Acidosis

A

More likely if patient has underlying risk factors

  • Decreased kidney function
  • Tissue hypoxia (e.g., cardiopulmonary disease)
  • Liver disease and excessive alcohol use
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8
Q

Sx of lactic acidosis

A
Weakness
Myalgia
Malaise
Heavy Labored breathing
abd distress
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9
Q

Cause HypO-G

A

SU (esp. Glyburide)
Non-SU
Synthetic Amylin Analog
Afrezza

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10
Q

Which drug dec LDL?

A

Biguanide

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11
Q

Which drugs decrease TG?

A

Biguanide

TZD

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12
Q

Which drugs increase HDL?

A

Biguanide

TZD

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13
Q

Hypoglycemia symptoms - symp sx

A

palpitations
tremor
sweating
anxiety

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14
Q

Hypoglycemia symptoms - parasymp sx

A

hunger

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15
Q

Hypoglycemia symptoms - CNS sx

A

neuroglycopenia

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16
Q

Hypoglycemia risk factors

A
  • After exercise or a missed meal
  • Drug dose is too high
  • Excessive ETOH use
  • Impaired renal or liver dz (depending on how
    drug is metabolized)