Last minutes Flashcards
beta cells ___ the ATP gated K+ channel
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alpha cells ___ the ATP gated K+ channel
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GLP-1 (incretins) MOA
- STIMULATOR of insulin synthesis and release
2. Inhibits glucagon secretion, slows gastric emptying, and anorectic effect
SU MOA
CLOSING of the ATP sensitive K+ channel by sulfonylurea binding to the outside of the channel to result in insulin release from beta cells
metformin MOA
increases insulin sensitivity and decreases hepatic glucose production
metformin ADE
GI related
low B12 levels
thiazolidinediones MOA
insulin sensitizer in the peripheral, esp. adipose tissues
thiazolidinediones Contraindications
CHF
heptatocellular disease
rosiglitazone
MI risk
pioglitazone
bladder cancer
thiazolidinedione drugs
-litazones
SU drugs
-ides
SU contraindications
hypoglycemia –> no combo with insulin
sulfa allergy
glinides drugs
-glinide
glinide MOA
same as SU: closes ATP dependent K+ pump of the beta cell to induce insulin secretion
GLP-1 agonists drugs
- tide
GLP-1 agonists MOA
synthetic GLP-1 that induces synthesis of insulin and inhibits release of glucagon
GLP-1 agonist CI
thyroid cancer/FH of thyroid
DDP-4 inhibitors drugs
-liptin
DDP-4 MOA
incresase patients levels of GLP-1
weight gaining drugs
insulin
SU
thiaz
weight inhibiting drugs
DDP-4
GLP-1
SGLT-2 inhibitiors drugs
-gliflozin
SGLT-2 MOA
lowers blood sugar to cause glucosuria by inhibiting the SGLT-2 pump
SGLT-2 problems
increased infections, renal impairment patients would have problem, gangrene, amputations, expensive
phenformin (like metformin)
causes lactic acidosis
