Anti diabetics (4) Flashcards
(41 cards)
Where does amylin function? What does it contribute to?
pancreas
Glycemic control
What is a synergistic partner to insulin?
amylin
**co-secreted
T/F the amount of insulin and amylin released is 1:1
false!
1:100 amylin: insulin
What does amylin work to do?
provide postprandial glucose control
Native amylin is single chain peptide of ____ AA
37
t/f human amylin can be given
false!!
highly amyloidogenic and potentially toxic
How can you give amylin to a patient?
rat amylin is used for analogs
**not amyloidogenic
amylin AKA
IAPP (islet amyloid polypeptide)
What is a new adjunct treatment for T1D and T2D?
amylin
What do IAPP result in?
- weight loss
- use less insulin
- lower average BG levels
ADE of IAPP
severe hypoglycemia (esp T1D)
How do SGLT2 inhibitors work?
improve glycemic control by increasing urinary excretion of glucose
Who can use SGLT2 inhibitors?
T2D
Which SGLT is in S3 segment of proximal tubule and contributes to 10% of glucose reabsorption?
SGLT1
Which SGLT is in S1 and S2 segments of proximal tubule and contributes to 90% of glucose reabsorption?
SGLT2
how much glucose is excreted?
<1%
how much glucose is reabsorbed?
99%
What type of drugs are SGLT2 inhibitors?
gliflozins
What are SGLT2 inhibitors associated with?
increased UTIs
What could SGLT2 inhibitors lead to?
ketoacidosis
ketoacidosis
metabolic state with high concentrations of ketone bodies
structural modification of phlorizin has lead to a number of SGLT2 selective inhibitors by _____
lead optimization
(SAR) OH group on B ring of SGLT2 inhibitors
not essential for inhibition
**responsible for toxicity
What can dual therapy help with?
reduce blood glucose quicker and remain there longer
