Pharmacological Agents of Diabetes Flashcards
SGLT2 stands for
sodium-glucose co-transporter inhibitors
biguanide drug
Metformin
Name two SGLT2 drugs
canagliflozin and dapagliflozin
SGLT2 mechanism of action
medications work to reduce blood sugar levels by blocking SGLT2s that cause the kidneys to reabsorb extra sugar. SGLT2 inhibitors pull extra sugar out of the bloodstream, and it leaves the body through urination instead
Name three Sulfonylurea drugs
glipizide, glyburide, and glimepiride
Sulfonylurea mechanism of action
stimulate the pancreas to release more insulin. In addition, they help your cells use insulin better.
Thiazolidinediones mechanism of action
diabetes medications that work by making cells more receptive to insulin, which helps your body use the insulin more efficiently
Name two Thiazolidinediones
Rosiglitazone and pioglitazone
Thiazolidinediones risk
may increase risk of heart failure for some people.
Thiazolidinediones dosage
tablet once a day
DPP-4 is what
dipeptidyl peptidase-4inhibitors
DPP-4 dosage
tablet form and are taken once a day around the same time each day
DPP-4 mechanism of action
work by helping to slow the breakdown of a naturally occurring compound called GLP-1 so that it can linger in the body and help to lower blood sugar levels when they are elevated.
Four DPP-4 drugs
Sitagliptin, linagliptin, saxagliptin, and alogliptin
Regular Insulin
Standard insulin reaches the bloodstream within 30 minutes of being injected. It works three to six hours and peaks after two to three hours.
Rapid Acting insulin
Regular insulin: Standard insulin reaches the bloodstream within 30 minutes of being injected. It works three to six hours and peaks after two to three hours.
Rapid-acting insulin: This type of insulin starts working within 15 minutes of injection. It reaches a peak in about an hour and keeps working for up to four hours.
Intermediate-acting insulin: This type takes two to four hours to reach the bloodstream, but it’s effective for 12 to 18 hours after injection.
Long Acting Insulin
Long-acting insulin can lower blood sugar levels for the longest period of time, up to 24 hours. However, it takes several hours after injection to begin working.
Inhaled Insulin
This form of insulin can be used in combination with long-acting injectable insulin. Inhaled insulin is rapid-acting and begins to work 12 to 15 minutes after administration. It peaks at 30 minutes and is out of your system within three hours.
exenatide extended-release, and liraglutide mechanism of action, dosage
injectable medications that stimulate insulin production and decrease the amount of glucose released from the liver, according to the ADA.
Pramlintide and both types of exenatide drugs also help decrease appetite.
The extended-release form is taken as a single dose once a week and has the added benefits of slowing digestion and helping to make you feel fuller longer.
Exenatide commercial names?
Byetta and Bydureon
Liraglutide commercial name?
Victoza
Saxenda
Dulaglutide commercial name?
Trulicity
Impact of GLP-1
the way GLP-1 receptor agonists work is by mimicking the effects of the incredible hormone GLP-1 which is excreted from the intestine when eating.
Increases insulin secretion
Decreases glucagon production from liver
Increases satiety
Slows gastric emptying