Podcast
Questions and Answers
A patient with type II diabetes is also diagnosed with cirrhosis. Which alpha-glucosidase inhibitor should be avoided for this patient?
A patient with type II diabetes is also diagnosed with cirrhosis. Which alpha-glucosidase inhibitor should be avoided for this patient?
- Repaglinide
- Nateglinide
- Acarbose (correct)
- Miglitol
Which of the following medications is most likely to be prescribed in conjunction with metformin to enhance glycemic control?
Which of the following medications is most likely to be prescribed in conjunction with metformin to enhance glycemic control?
- Repaglinide (correct)
- Miglitol
- Rosiglitazone maleate
- Acarbose
Glyburide is classified under which category of oral antidiabetic agents?
Glyburide is classified under which category of oral antidiabetic agents?
- Thiazolidinedione
- Biguanide
- Alpha-glucosidase inhibitor
- Sulfonylurea (correct)
A patient with type 2 diabetes is prescribed rosiglitazone maleate. What potential severe adverse effect should the patient be closely monitored for?
A patient with type 2 diabetes is prescribed rosiglitazone maleate. What potential severe adverse effect should the patient be closely monitored for?
Metformin, a commonly prescribed medication for type 2 diabetes, belongs to which class of drugs?
Metformin, a commonly prescribed medication for type 2 diabetes, belongs to which class of drugs?
Acarbose is most effective when combined with what type of medication for optimal blood glucose control?
Acarbose is most effective when combined with what type of medication for optimal blood glucose control?
Which class of oral hypoglycemic agents primarily functions by stimulating the pancreatic secretion of insulin?
Which class of oral hypoglycemic agents primarily functions by stimulating the pancreatic secretion of insulin?
Why is it important to discontinue metformin 48 hours before and after procedures involving contrast dye?
Why is it important to discontinue metformin 48 hours before and after procedures involving contrast dye?
An 82-year-old patient with type 2 diabetes is prescribed an oral antidiabetic medication. Considering the patient's age, which medication should be used with caution due to the risk of lactic acidosis?
An 82-year-old patient with type 2 diabetes is prescribed an oral antidiabetic medication. Considering the patient's age, which medication should be used with caution due to the risk of lactic acidosis?
Which patient population is at higher risk of adverse reactions when taking Metformin?
Which patient population is at higher risk of adverse reactions when taking Metformin?
A patient needs a rapid-acting insulin bolus before a meal but only has access to Humulin R and insulin lispro. Which insulin should be administered and when?
A patient needs a rapid-acting insulin bolus before a meal but only has access to Humulin R and insulin lispro. Which insulin should be administered and when?
A patient newly diagnosed with diabetes requires both a rapid-acting insulin for mealtime coverage and a basal insulin to cover insulin needs between meals and overnight. Which combination is most appropriate based on the available medications?
A patient newly diagnosed with diabetes requires both a rapid-acting insulin for mealtime coverage and a basal insulin to cover insulin needs between meals and overnight. Which combination is most appropriate based on the available medications?
A patient is prescribed Isophane (NPH) insulin. What is the primary reason for the inclusion of zinc in this type of insulin formulation?
A patient is prescribed Isophane (NPH) insulin. What is the primary reason for the inclusion of zinc in this type of insulin formulation?
A doctor is deciding between different rapid-acting insulin for a patient who needs precise control over post-meal glucose excursions. Which rapid-acting insulin analog would be the MOST appropriate if the doctor wants the one with the shortest onset of action?
A doctor is deciding between different rapid-acting insulin for a patient who needs precise control over post-meal glucose excursions. Which rapid-acting insulin analog would be the MOST appropriate if the doctor wants the one with the shortest onset of action?
A patient taking insulin detemir reports inconsistent blood sugar control despite consistent dosing. What should the healthcare provider consider FIRST regarding this patient's insulin regimen?
A patient taking insulin detemir reports inconsistent blood sugar control despite consistent dosing. What should the healthcare provider consider FIRST regarding this patient's insulin regimen?
Flashcards
Alpha-Glucosidase Inhibitors
Alpha-Glucosidase Inhibitors
Inhibits enzymes that break down carbohydrates, lowering post-meal blood glucose.
Acarbose (Precose)
Acarbose (Precose)
An alpha-glucosidase inhibitor that helps to improve glycosylated hemoglobin levels.
Thiazolidinediones (Glitazones)
Thiazolidinediones (Glitazones)
A class of drugs that enhances insulin sensitivity in peripheral tissues.
Meglitinides
Meglitinides
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Repaglinide
Repaglinide
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Sulfonylureas
Sulfonylureas
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Glyburide
Glyburide
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Metformin
Metformin
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Lactic acidosis
Lactic acidosis
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Metformin Discontinuation
Metformin Discontinuation
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Humulin
Humulin
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Lispro
Lispro
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Glylisin
Glylisin
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Isophane (NPH)
Isophane (NPH)
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Detemir
Detemir
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Study Notes
Alpha-Glucosidase Inhibitors
- Treats Type II diabetes
- Includes Acarbose (Precose), which improves glycosylated hemoglobin levels
- Also includes Miglitol
- Should not be used on people that have cirrhosis, chronic intestinal disease and chronic ulceration
- Works well with a sulfonylurea to control blood glucose levels
Thiazolidinediones (glitazones)
- Includes Rosiglitazone maleate; rarely prescribed due to risk of heart failure
Meglitinides
- Stimulates pancreatic secretion of insulin
- Includes Repaglinide, which is used with metformin
- Also includes Nateglinide
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