T2DM drugs Flashcards
metformin mechanism of action
increases insulin sensitivity and decreases hepatic gluconeogenesis
metformin side effects
GI upset, lactic acidosis
first line medication in T2DM
metformin
SUs mechanism of action
stimulate pancreatic beta cells to secrete insulin
SUs side effects
hypoglycaemia. weight gain, hyponatraemia
thiazolidonediones (glitazones) mechanism of action
activate PPAR-gamma receptor in adipocytes to promote adipogenesis and fatty acid uptake
SUs examples
gliclazide and glimepiride
TZDs (glitazones) side effects
weight gain, fluid retention
TZDs (glitazones) examples
pioglitazone
DPP-4 inhibitor (-gliptins)
increases incretin levels which inhibit glucagon secretion
DPP-4 inhibitors (-gliptins) side effects
increased risk of pancreatitis
SGLT-2 inhibitors (-gliflozins)
inhibits reabsorption of glucose in the kidney
SGLT-2 inhibitors (-gliflozins) side effects
UTI, candidiasis, weight loss
GLP-1 agonists (-tides)
incretin mimetic which inhibits glucagon secretion
GLP-1 agonists (-tides) route
subcutaneous