Antidiabetic Drugs Overview
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Questions and Answers

What is the primary function of sulfonylureas in diabetes management?

  • Delay carbohydrate absorption in the intestines
  • Increase insulin sensitivity in muscle cells
  • Inhibit the breakdown of GLP-1
  • Stimulate insulin secretion from the pancreas (correct)
  • Which medication class is most likely to cause flatulence and abdominal bloating?

  • GLP-1 Receptor Agonists
  • Thiazolidinediones
  • Biguanides
  • α-Glucosidase Inhibitors (correct)
  • What potential side effects are associated with thiazolidinediones (TZDs)?

  • Nausea and vomiting
  • Hypoglycemic reactions and dizziness
  • Edema, increased plasma volume, and heart failure risk (correct)
  • Increased insulin resistance and hypertension
  • What are DPP-4 inhibitors known to do in the context of GLP-1?

    <p>Inhibit the enzyme that degrades GLP-1</p> Signup and view all the answers

    Which class of drugs is primarily used for patients with variable meal schedules?

    <p>Meglitinides</p> Signup and view all the answers

    Why was phenformin removed from the market?

    <p>Safety concerns related to lactic acidosis</p> Signup and view all the answers

    Which of the following is a characteristic of GLP-1 Receptor Agonists?

    <p>They mimic the effects of GLP-1 hormone</p> Signup and view all the answers

    What common adverse effect is shared by sulfonylureas and meglitinides?

    <p>Hypoglycemia</p> Signup and view all the answers

    Study Notes

    Antidiabetic Drugs

    • Meglitinides (e.g., Repaglinide, Nateglinide): Used for patients with meal schedules that vary daily, increase risk of hypoglycemia.
    • Biguanides (e.g., Metformin): Often used alone or with other medications, can cause lactic acidosis. Phenformin removed from market due to risk.
    • Thiazolidinediones (e.g., Pioglitazone, Rosiglitazone): Used as an adjunct to diet and exercise for type 2 diabetes management. Can cause edema, increased plasma volume, and higher risk of heart failure. Rosiglitazone has a higher risk of heart attack than pioglitazone.
    • α-Glucosidase Inhibitors (e.g., Acarbose, Miglitol): Cause flatulence and abdominal bloating.
    • GLP-1 Receptor Agonists (GLP-1RAs) and DPP-4 Inhibitors: GLP-1 is quickly broken down, therefore it must be prepared as a sustained-release preparation for weekly use, e.g., Exenatide. Liraglutide is another example of a sustained-release.

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    Description

    This quiz covers various classes of antidiabetic drugs including Meglitinides, Biguanides, Thiazolidinediones, α-Glucosidase Inhibitors, and GLP-1 Receptor Agonists. It discusses their uses, side effects, and mechanisms. Test your knowledge on the important aspects of these medications!

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