Diabetes Mellitus
tx of DM
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Topics of this game:
- Hypoglycemia (especially in elderly), increased risk of cardiovascular mortality & weight gain
- Metformin
- Renal dysfunction, CHF, metabolic acidosis, impaired hepatic function & excess alcohol consumption
- Medication must be temporarily held when the patient is undergoing IV iodinated contrast study
- Rosiglitazone (Avandia) & pioglitazone (Actos)
- Anemia, edema, headache, reversible increase in ALT, weight gain
- Acarbose (Precose) & miglitol (Glyset)
- Repaglinide (Prandin) & nateglinide (Starlix)
- Stagliptin, saxagliptin, alogliptin, linagliptin, & vildagliptin
- Canagliflozin, dapagliflozin, empagliflozin, & ipragliflozin
- history pancreatitis
- Patient should skip a dose if he or she skips a meal & add a dose if he or she adds a meal
- hyperkalemia, mycotic infections, UTIs, hypotension, & renal insufficiency
- oral glucose tolerant test
- Cornerstone of therapy for all pts with DM
- insulin
- Breastfeeding women & pts with sulfa allergy
- D, N, V, abdominal bloating, anorexia, metallic taste in mouth, & lactic acidosis
- Pramlintide (Symlin)
- Induce glycosuria through kidneys independent of insulin secretion by inhibiting SGLT-2 system
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