Diabetes part II
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | TCAs, bupropion, alpha 2 agonists (clonidine)
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| show | 1. Danger to self
2. Danger to others
3. Gravely disabled (cannot care for self)
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| What is the psych condition in which a person travels a long distance, takes a new name, and has no memory of his prior life? | show 🗑
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| What skin finding can be a sign of having insulin resistance? | show 🗑
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| show | TZDs/glitazones
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| show | Glyburide
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| What is the initial 2-part therapy recommended for most type 2 diabetics? | show 🗑
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| At what point should a type 2 diabetic be considered for addition of a second drug to metformin? Name 2 drug classes commonly added. | show 🗑
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| show | If Hgb A1c remains >8.5 or if pt shows signs of decreased insulin production
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| show | Regular or short acting (lispro, aspart, glulisine). HY!
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| NAME THAT DRUG!: decreases heaptic gluconeogenesis, increases insulin activity | show 🗑
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| show | Metformin
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| NAME THAT DRUG!: lactic acidosis is a rare but serious SE | show 🗑
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| NAME THAT DRUG!: stimulates insulin release which requires a functioning pancreas | show 🗑
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| show | Tolbutamide, glyburide, and glipizide
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| NAME THAT DRUG!: Decreases heaptic gluconeogenesis and increases tissue sensitivity to insulin | show 🗑
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| show | 1. Rosiglitazone
2. Pioglitazone
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| NAME THAT DRUG!: oral hypoglycemic that increases risk of MI | show 🗑
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| show | Metformin and sulfonylureas
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| show | 1. Sulfonylureas (tolbutamide, glyburide, and glipizide)
2. Meglitinides (repaglinide, nateglinide)
*#2 is low yield, so just remember the glidy slidy drugs make your blood sugar slide down*
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| NAME THAT DRUG!: cause fluid retention so should be avoided in heart failure pts | show 🗑
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| NAME THAT DRUG!: decreases GI absorption of starch and disaccharides; diarrhea and farting are common SE. Ewww! | show 🗑
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| show | Stimulate insulin release from beta cells (diff mech from sulfonylureas tho)
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| show | GI disturbance: nausea, vomiting, diarrhea. Metformin should NOT cause hypoglycemia.
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| NAME THAT DRUG!: Oldest and cheapest of oral hypoglycemic agents? | show 🗑
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| show | Metformin
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| NAME THAT DRUG!: also helps lower triglycerides and LDL levels | show 🗑
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| NAME THAT DRUG!: should not be used in pts with IBD | show 🗑
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| NAME THAT DRUG!: hepatic serum transaminases should be carefully monitored while using these agents | show 🗑
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| show | metformin
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| show | TZDs
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| NAME THAT DRUG!: primarily affects postprandial hyperglycemia; taken with meals | show 🗑
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| Name 5 criteria for the diagnosis of metabolic syndrome. | show 🗑
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| show | Metformin. Hold 24h prior and 48h after.
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| NAME THAT DRUG!: stimulates insulin release | show 🗑
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| NAME THAT DRUG!: increases tissue glucose uptake and improves insulin sensitivity | show 🗑
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| show | Exanatide and liraglutide
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| NAME THAT DRUG!: inhibits DPP-IV leading to dec glucagon, incr insulin, delayed gastric emptying | show 🗑
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| NAME THAT DRUG!: An amylin analog which decreases glucagon and delays gastric emptying | show 🗑
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