Dm Flashcards
(17 cards)
What is the micro complication
Retino , neuro, nephro, pathy
What is macrocomplications
Ckd, stroke , peri
What is the screening start from
Adult from age 45 , children 10 every 3yrs for each
Values for dm diagnosis
FBG …. 126
A1C…..6.5
OGTT….LARGER 200
What is the most common admi to insulin
Sc
What is insulin bolus
Lisipro , glulusin , aspart
Mention a peak less insulin
Degludec , glargine
Met for in have gi adverse effect how to deal with them
By titration orders using the extended release metformin
MOA of sulfonylureas
Secreting insulin by binding to SUR1 receptor on beta cell
What is the side effect os sU
Hypoglycaemia and weight gain
Adverse effect of TZD
Water retention , HF, peripheral edema, hemedilution for hemoglobin and hemocrit
Due to New York assosiaction TZD is contra indicated for
Class iii and v hf
What the glp-1 do
Dulaglutide, exenatide, exenatide XR,
lixisenatide, liraglutide, and semaglutide
stimulate insulin secretion and suppress
inappropriately high postprandial
glucagon secretion, decreasing hepatic
glucose output. They also slow gastric
emptying, increase satiety, and cause
weight loss (average 1–3 kg
Semaglutide , dilaglutide , liraglutide are safe reduce cv events and established ASCVD
True
Routs of semaglutide
Sc and orally
Mention one glp1 that lowers the PPG
Linxietide , exenatide
Mention GLIP-1 That lowers both FBG, PPG
Dulaglutide , liraglutide and those with long acting ones