Diabeatus part two

Question 1

Oral agents to use with:

Pancreatic failure

Answer 1

Sulfonureas

incretin mimetics

Question 2

Oral agents to use with:

Overproduction of gluc from liver

Answer 2

Metformin

DPP-4

Question 3

Oral agents to use with:

Overeating (high post-prandial gluc)

Answer 3

Exenatide
Acarbose
DPP-4

Question 4

Oral agents to use with:

Insulin Resistance (esp in muscle and fat)

Answer 4

Metformin

Thiazolidinediones

Question 5

Metformin is the first choice for oral agents for DM2 (minimizes wt gain, reduces insulin resistance) but if need additional glycemic control can add:

Answer 5

Sulfonylurea or incretin mimetic

or other oral agent for 2 or 3 drug combos

Question 6

Start insulin therapy in patients who:

Answer 6

Have an HgbA1c that approaches 8% in spite of optimal oral therapy

Question 7

May increase beta cell mass

Gets beta cells to only release insulin if BG is elevated

Answer 7

Byetta/Exenatide

-Give to DM2 if unable to control on other stuff
Might give them pancreatitis tho.