Endocrine 2 Diabetes Test
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| A. TZDs/glitazonesB. Metformin. Hold 24h prior and 48h after.C. Sitagliptin and saxagliptinD. 1. Danger to self
2. Danger to others
3. Gravely disabled (cannot care for self)E. MetforminF. If Hgb A1c remains >8.5 or if pt shows signs of decreased insulin productionG. GlyburideH. acarbose/alpha-glucosidase inhibitorI. Stimulate insulin release from beta cells (diff mech from sulfonylureas tho)J. TCAs, bupropion, alpha 2 agonists (clonidine)K. Metformin and sulfonylureasL. If Hgb A1c remains >7 after 2-3mos. Add a sulfonylurea and/or TZD (rosi, pio)M. sulfonylurea and meglitinidesN. 1. Lifestyle changes (excercise, stop putting so much food in your mouth)
2. MetforminO. Dissociative fugue (kinda like a FUGUtive!). HY!P. TZDs/glitazones (rosi and pio)Q. 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*R. metforminS. SulfonylureasT. GI disturbance: nausea, vomiting, diarrhea. Metformin should NOT cause hypoglycemia. |
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