DM (Exam #3) Flashcards

1
Q

Is GLUT4 insulin-dependent or insulin-independent?

A

Insulin-dependent

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2
Q

Treatment for hypoglycemia?

A

Glucose (IV) = fastest

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3
Q

What two insulin types can be given IV?

A

BOLUS

  • Rapid-Acting Insulin
  • Short-Acting Insulin
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4
Q

What type of Insulin is used in insulin pumps?

A

Rapid-Acting Insulin

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5
Q

What type of Insulin is used first in Type II DM? When would this be considered?

A

Long-Acting Insulin

- Used if A1c is 10+% + Metformin

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6
Q

Is Rapid-Acting Insulin or Short-Acting Insulin preferred, and why?

A

Rapid-Acting Insulin preferred due to less hypoglycemia

- Less “tail-end”

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7
Q

What four factors must be considered when picking a Type II DM drug?

A
  • ASCVD
  • CKD
  • Weight
  • Hypoglycemia risk
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8
Q

Which medication decreases ALL-cause mortality events?

A

Metformin

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9
Q

What class of drugs have the name hint “-tide”?

A

GLP-1 Receptor Agonists

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10
Q

What class of drugs have the name hint “-gliptin”?

A

DPP-4 Inhibitors

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11
Q

What class of drugs have the name hint “-gliflozin”?

A

SGLT-2 Inhibitors

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12
Q

What class of drugs have the name hint “-glitazone”?

A

TZDs

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13
Q

Which GLP-1 Receptor Agonists is the only ORAL form?

A

Semaglutide

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14
Q

What is an important PK associated with DPP-4 Inhibitors?

A

ORAL administration

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15
Q

What medication can be used as an alternative to SUs, and why?

A

Repaglinide

- Similar to SUs but NO sulfa allergy risk

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16
Q

Which generation of SUs is more potent? Which has the highest risk of hypoglycemia, and which has the least highest risk of hypoglycemia?

A

SECOND gen = more potent

  • Glyburide = worst
  • Glipizide = “best”
17
Q

Which drug must be combined with another antidiabetic agent to be used?

A

Colesevelam

- Bile acid binding resin

18
Q

Which medication is used to decrease postmeal plasma glucose levels due to enhanced suppression of hepatic glucose production?

A

Bromocriptine

19
Q

Which drug MUST be used in combination with Insulin?

A

Pramlintide

20
Q

What are the ABCs of DM care?

A
  • A1c
  • BP
  • Cholesterol
21
Q

When treating for DM, what is the risk that MUST be avoided regardless of treatment option?

A

Hypoglycemia