Drugs for Diabetes Flashcards
1
Q
insulin aspart
A
- Rapid acting
- taken before meals to prevent postprandial hyperglycemia
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
2
Q
insulin lispro
A
- Rapid acting
- taken before meals to prevent postprandial hyperglycemia
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
3
Q
insulin glulisine
A
- Rapid acting
- taken before meals to prevent postprandial hyperglycemia
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
4
Q
regular insulin
A
- Short acting
- can be used for basal insulin maintenance, overnight coverage, given 45 min before meal to prevent post prandial hyperglycemia, or injected IV for urgent situations
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
5
Q
NPH
neutral protamine hagerdorn
A
- intermediate acting
- can be used for basal insulin maintenance, or overnight coverage
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
6
Q
insulin detemir
A
- long acting
- rapidly absorbed in blood, but binds strongly to albumin
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
7
Q
insulin glargine
A
- long acting
- used for basal insulin maintenance
- soluble at pH4 but precipitates at pH7 and forms a depot
- risk of hypoglycemia, hypokalemia, hypertrophy of fat at injection site, resistance, allergy
8
Q
pramlintide
A
- amylin analog
- used to manage postprandial hyperglycemia
- enhances action of insulin by inhibiting glucagon secretion, slows gastric emptying, and causes a feeling of satiety
- risk of hypoglycemia and drug interactions
9
Q
exenatide
A
- incretin mimetic, and insulin secretagogue
- GLP-1 receptor agonist (activates a Gs GPCR)
- derived from gila monster saliva
- only used for T2DM
10
Q
liraglutide
A
- incretin mimetic, and insulin secretagogue
- GLP-1 receptor agonist (activates a Gs GPCR)
- long acting
- only used for T2DM
11
Q
sitagliptin
A
- incretin mimetic, and insulin secretagogue
- DDP-4 inhibitor, prevents GLP-1 breakdown
- only used for T2DM
12
Q
linagliptin
A
- incretin mimetic, and insulin secretagogue
- DDP-4 inhibitor, prevents GLP-1 breakdown
- only used for T2DM
13
Q
saxagliptin
A
- incretin mimetic, and insulin secretagogue
- DDP-4 inhibitor, prevents GLP-1 breakdown
- only used for T2DM
14
Q
alogliptin
A
- incretin mimetic, and insulin secretagogue
- DDP-4 inhibitor, prevents GLP-1 breakdown
- only used for T2DM
15
Q
chlorpromide
A
- first generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
16
Q
tolbutamide
A
- first generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
17
Q
tolazamide
A
- first generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
18
Q
glipizide
A
- second generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
19
Q
glyburide
A
- second generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
20
Q
glimepiride
A
- second generation sulfonylurea
- blocks K+ ATP channels
- many drug interactions: risk or hypoglycemia and reduced glucose lowering effect
- only used for T2DM
21
Q
nateglinide
A
- meglitinide
- blocks K+ ATP channels and enhances insulin secretion
- used for prevention of postprandial hyperglycemia
- only used for T2DM
22
Q
repaglinide
A
- meglitinide
- blocks K+ ATP channels and enhances insulin secretion
- used for prevention of postprandial hyperglycemia
- only used for T2DM
23
Q
metformin
A
- biguanide
- activates AMP-activated protein kinase
- does not bind to plasma proteins or get metabolized by body
- risk of lactic acidosis
- only used for T2DM
24
Q
pioglitazone
A
- thiazolidinedione
- PPARγ agonist, increases GLUT4 levels
- delay progression to T2DM, and reduce insulin resistance
- metabolized by CYP450s
- risk of edema, exacerbation of CHF, and osteoporotic fractures
- only used for T2DM
25
Q
rosiglitazone
A
- thiazolidinedione
- PPARγ agonist, increases GLUT4 levels
- delay progression to T2DM, and reduce insulin resistance
- metabolized by CYP450s
- risk of edema, exacerbation of CHF, and osteoporotic fractures
- only used for T2DM
26
Q
canagliflozin
A
- SGLT-2 inhibitor
- increases glucose excretion in kidney
- only used for COMBINATION THERAPY IN T2DM
27
Q
dapagliflozin
A
- SGLT-2 inhibitor
- increases glucose excretion in kidney
- only used for COMBINATION THERAPY IN T2DM
28
Q
empagliflozin
A
- SGLT-2 inhibitor
- increases glucose excretion in kidney
- only used for COMBINATION THERAPY IN T2DM
29
Q
acarbose
A
- α-glucosidase competitive inhibitor
- reduce the amount of starch/disaccharide digestion and therefore reduce the amount of monosaccharide absorption
- risk of flatulence and bloating
- only used for T2DM
30
Q
miglitol
A
- α-glucosidase competitive inhibitor
- reduce the amount of starch/disaccharide digestion and therefore reduce the amount of monosaccharide absorption
- risk of flatulence and bloating
- only used for T2DM