Non-Insulin Part 2 Flashcards
1
Q
T2DM Treatment Concept
A
Metformin monotherapy
2 drug combo (metformin + other)
3 drug combo
2
Q
What drugs do you NOT use in combination?
A
Meglitinides + SU
GLP-1 agonist and DPP-4 inhibitors
3
Q
Metformin Sugar Target
A
Pre prandial
4
Q
SU Sugar Target
A
Pre and PP
5
Q
Meglitinides Sugar Target
A
PP
6
Q
TZDs Sugar Target
A
Pre prandial
7
Q
DPP-4 Inhibitors Sugar Target
A
PP
8
Q
GLP-1 Agonists Sugar Target
A
PP and both if once weekly
9
Q
SGLT2 Inhibitors Sugar Target
A
Both
10
Q
What drugs do you monitor renal with?
A
GLP-1 agonists Sulfonylureas Metformin SGLT-2 inhibitors DPP-4 inhibitors AKA all except TZDs which is hepatic
11
Q
Case Thought Process
A
- At goal?
- Assess A1c to determine which PP or FBG to focus
- What do you need to know? (blood sugars, last A1c, side effects, renal)
- Patient worried about cost or weight gain?