Drug Classes for Type 2 Diabetes Treatment
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Questions and Answers

What is the primary mechanism of action of Biguanides like Metformin?

  • Antagonize glucose reabsorption in the kidneys
  • Increase insulin secretion from the pancreas
  • Prevent glucose production in the liver (correct)
  • Bind to GLP-1 receptors

Which of the following is NOT a common adverse effect of Insulin secretagogues?

  • Weight gain
  • Nausea
  • Hypoglycemia
  • Abdominal discomfort (correct)

When are Dipeptidyl peptidase-4 (DPP-4) inhibitors indicated for use?

  • As adjunct therapy for T2 diabetes (correct)
  • Only during insulin therapy
  • Exclusively for T1 diabetes management
  • As first-line therapy for T2 diabetes

What is a common adverse effect when using Sodium-glucose linked transporter inhibitors?

<p>Dehydration and frequent urination (A)</p> Signup and view all the answers

What therapeutic goal is common for managing diabetes?

<p>To alleviate diabetes-associated symptoms (C)</p> Signup and view all the answers

Which class of medication helps to restore GLP-1 activity by mimicking its effects?

<p>Glucagon-like polypeptide agonists (D)</p> Signup and view all the answers

Which of the following statements about Metformin is false?

<p>It can cause hypoglycemia. (D)</p> Signup and view all the answers

Why might insulin be used for managing Type 1 diabetes?

<p>To directly control blood glucose levels through exogenous supply (B)</p> Signup and view all the answers

Flashcards

Metformin's Action

Metformin lowers blood glucose by reducing glucose production in the liver and increasing glucose uptake by muscles.

Insulin Secretagogues

These drugs stimulate the pancreas to release more insulin.

GLP-1 Agonists

Mimic the action of a natural hormone to increase insulin release and decrease glucagon release.

DPP-4 Inhibitors

Prevent the breakdown of GLP-1, leading to increased insulin release.

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SGLT2 Inhibitors

Block glucose reabsorption in the kidneys, leading to increased glucose excretion.

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Insulin Types

Different types of insulin have varying onset and duration of action, allowing for tailored treatment.

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Diabetes Management Goals

Reduce symptoms and prevent/slow complications.

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T1 Diabetes Treatment

Always requires insulin.

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Study Notes

Drug Classes for Type 2 Diabetes Treatment

  • Biguanides (Metformin): Prevent glucose production in the liver, decrease gluconeogenesis, and increase glucose uptake by muscles. Does not cause hypoglycemia. Common side effects include gastrointestinal issues (abdominal discomfort, diarrhea, nausea).

  • Insulin Secretagogues: Increase insulin secretion from pancreatic beta cells by inhibiting potassium channels, leading to increased calcium entry. Risk of hypoglycemia. Side effects include jaundice, allergic skin reactions, and metallic taste.

  • Glucagon-like Polypeptide (GLP-1) Receptor Agonists: Synthetic analogs of GLP-1 that bind to receptors, restoring GLP-1 activity. Increase insulin release, decrease glucagon release, and lower blood glucose. Administered by injection. Side effects include nausea, vomiting, and diarrhea. Weight loss is a possible side effect.

  • Dipeptidyl Peptidase-4 (DPP-4) Inhibitors: Inhibit a serine protease, preventing the inactivation of GLP-1. Increase insulin release and lower glucagon release. Administered orally. Side effects include upper respiratory tract infections, headaches, hypoglycemia, and acute pancreatitis.

  • Sodium-Glucose Linked Transporter (SGLT2) Inhibitors: Antagonize the transporter protein, preventing glucose reabsorption. Administered orally. Common side effects include increased urination, low blood pressure, and weight loss.

Insulin Treatment of Diabetes

  • Insulin is necessary for all Type 1 diabetes patients and for diabetic ketoacidosis. Also used for some type 2 cases

  • Different types of insulin exist with varied onset and duration of action: rapid-acting, short-acting, intermediate-acting, and long-acting.

  • Side effects: Hypoglycemia is the most dangerous complication (treatment is glucose administration, usually in liquid). Other side effects include unusual physical exertion, too high of a dose, insulin allergy and insulin resistance, symptoms such as tachycardia, palpitations, sweating, shaking, nausea, and hunger.

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Description

This quiz covers various drug classes used for the treatment of Type 2 Diabetes, including their mechanisms, side effects, and administration methods. Test your knowledge on Biguanides, Insulin Secretagogues, GLP-1 Receptor Agonists, and DPP-4 Inhibitors.

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