endocrine Flashcards
aspart insulin
rapid acting
best for post-meal hypergylcemia
lispro insulin
rapid acting
best for post-meal hypergylcemia
Glulisine
rapid acting
best for post-meal hypergylcemia
regular insulin
short acting
best for iv use
NPH
intermediate acting
twice daily
Glargine
long-acting
once daily
Dtermir
Long-acting
once daily
metformin
biguanides: decrease gluconeo,increase glycosis, increase glu uptake
use in 1st line type 2
tos: Gi upset, lactic acidosis(CI in renal failure)
Tolbutamide
1st Generation, sulfonylureas
Close K channel in beta-cell membrane, so cell depolarizes->Ca influx–>trigger of insulin release
tox: disulfiram like side effect
Chlorpropamide
1st Generation, sulfonylureas
Close K channel in beta-cell membrane, so cell depolarizes->Ca influx–>trigger of insulin release
tox: disulfiram like side effect
Glyburide
2nd Generation, sulfonylureas
Close K channel in beta-cell membrane, so cell depolarizes->Ca influx–>trigger of insulin release
tox: hypoglycemia
Glimepiride
2nd Generation, sulfonylureas
Close K channel in beta-cell membrane, so cell depolarizes->Ca influx–>trigger of insulin release
tox: hypoglycemia
Glipizide
2nd Generation, sulfonylureas
Close K channel in beta-cell membrane, so cell depolarizes->Ca influx–>trigger of insulin release
tox: hypoglycemia
Pioglitazone
Glitazones/thiazolidinediones
increase insulin sensitivity in peripheral tissue: increase GLUT express
binds to PPAR-gamma nuclear transcription regulator: regulate release of adipokines from adipose tissue
use as monotherapy in type 2 or combined
TOX: weight gain, edema, hepatotoxicity, HF
Rosigilitazone
Glitazones/thiazolidinediones
increase insulin sensitivity in peripheral tissue: increase GLUT express
binds to PPAR-gamma nuclear transcription regulator: regulate release of adipokines from adipose tissue
use as monotherapy in type 2 or combined
TOX: weight gain, edema, hepatotoxicity, HF
Acarbose
alpha-glucosidase inhibitor: inhibit intestinal brush-boarder alpha-glucosidases, delayed sugar hydrolysis and glucose absorption–>decrease postrandial hyperglycemia
Used as monotherapy in type 2 DM or in combination with above agents
TOX: GI disturbance