Diabetes Quick Study Flashcards
Diabetic patient with HF, which antidiabetic meds should you AVOID?
TZDs (Actos and Avandia)
Alogliptin
Saxagliptin
A 74 yo female T2DM patient has frequent HYPOglycemia episodes. She is on metformin, Amaryl, Repaglinide,and Farxiga. What medications are putting her at a HIGH risk for hypoglycemia?
Amaryl (Glimepiride) is a sulfonylurea
Repaglinide is a meglitinide
***both work by stimulating insulin secretion in a non-glucose dependent manor
A patient is on Metformin, Trulicity once weekly, Tresiba daily, and Tradjenta. Her labs came back finding HYPOKALEMIA. Which drug most likely is causing this?
Insulin Tresiba
If a T2DM patient is having frequent episodes of keoacidosis what treatment should be avoided?
SGLT2 inhibitors
***increased risk with acute illness or dehydration or renal impairment
A T2DM patients has developed lactic acidosis. What medication should you look for?
Metformin and DISCONTINUE
**increased risk with renal impairment, alcoholism, and hypoxia
A T2Dm patient is on a antidiabetic medication that has caused her DEXA scan T score to become -2.1 (Osteopenia). What specific medication is she taking?
Invokana (canagliflozin)
***TZDs also cause fractures and should be avoided in this patient
What medication should be avoided if the patient experiences peripheral neuropathy or has PAD?
Canagliflozin (INCREASED risk of foot amputations!!!!!)
A diabetic patient has CKD, and the eGFR dropped < 30. What medications should be removed from her treatment if applicable?
SGLT2 inhibitors
Metformin
What are natural products that may be helpful for diabetes?
Cinnamon
Alpha Lipoic Acid
Chromium
What antidiabetic medications could lead to weight gain?
Sulfonylureas
Meglitinides
TZDs
Insulin!!!!!!!
Which glp-1 agonist comes with needles inside the box?
Trulicity
**all over weekly injectables
Which glp-1 agonist needs to have needles purchased separately?
Victoza
**all daily injectables
