Pancreatic Drugs Flashcards
Somogyi
When evening dose of insulin is high
When evening dose of intermediate insulin is low
Waning
Phenomenon due to growth hormone spike
Dawm phenomenon
Most physiologic strategy for insulin therapy
Basal bolus
1st gen sulfonylurea
Chlorpropamide
May cause disulfiram rxn
Chlorpropamide
2nd gen sulfonylurea
Glipizide
CI in patients with hepatic impairment and renal insufficiency
Glipizide (2nd gen)
A meglitinide
Repaglinide
Increases insulin secretion from pancreatic B cells by closing ATP sensitive K channels
Secretagogued
Activates AMP stimulated and protein kinase leading to inhibition of hepatic and renal gluceneogenesis
Biguanides
Increase target tissue sensitvity to insulin by activating the peroxisome proliferator activated receptor gama nuclear receptor
Thiazolidinediones
Inhibit a glucosidase enzyme
Alpha glucosidase inhibitors
Example of aloha glucosidase inhibitor
Acarbose
Amylin analog
Pramlintide