Type 2 Diabetes Flashcards
What is the first-line pharmacological treatment for Type 2 diabetes according to NICE CKS?
Metformin
True or False: Sulfonylureas are recommended as the first-line treatment for Type 2 diabetes.
False
Fill in the blank: The primary mechanism of action of Metformin is to decrease __________ production in the liver.
glucose
Which class of medications is used to stimulate insulin secretion in Type 2 diabetes?
Sulfonylureas
What is the maximum daily dose of Metformin for adults?
2,000 mg
True or False: DPP-4 inhibitors can lead to weight gain in patients with Type 2 diabetes.
False
What is the role of SGLT2 inhibitors in the management of Type 2 diabetes?
To promote renal glucose excretion
Name one common side effect of Metformin.
Gastrointestinal disturbances
What is the primary benefit of using GLP-1 receptor agonists in Type 2 diabetes treatment?
Weight loss
Which medication class is contraindicated in patients with a history of pancreatitis?
DPP-4 inhibitors
Fill in the blank: Insulin therapy may be initiated in Type 2 diabetes when __________ control is inadequate.
glycemic
What is the potential cardiovascular benefit of SGLT2 inhibitors?
Reduction in heart failure risk
True or False: Thiazolidinediones are a first-line treatment option for Type 2 diabetes.
False
Name one contraindication for using Metformin.
Severe renal impairment
What is the target HbA1c level for most adults with Type 2 diabetes?
Below 48 mmol/mol (6.5%)
Which medication class is associated with a risk of hypoglycemia?
Sulfonylureas
Fill in the blank: The addition of __________ is recommended when Metformin alone is insufficient for glycemic control.
another antidiabetic medication
What should be monitored regularly in patients taking Metformin?
Renal function
True or False: Lifestyle changes should be encouraged alongside pharmacological management in Type 2 diabetes.
True
What is one of the main actions of GLP-1 receptor agonists?
Increase insulin secretion in response to meals
Which medication can be used as a second-line treatment if Metformin is not tolerated?
DPP-4 inhibitors
Fill in the blank: SGLT2 inhibitors can cause __________ as a side effect.
genital infections
What is the role of insulin in the management of Type 2 diabetes?
To lower blood glucose levels
What is a common starting dose for DPP-4 inhibitors?
100 mg once daily