Pharmacology Chapter 7: Diabetes Mellitus

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Questions and Answers

What is the primary mechanism of action of Biguanides, such as Metformin?

  • Increases insulin secretion from the pancreas
  • Increases glucagon secretion from the pancreas
  • Decreases insulin sensitivity
  • Decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity (correct)

What percentage of diabetes mellitus cases are estimated to be Type 1 Diabetes?

  • 10% (correct)
  • 90%
  • 5%
  • 20%

What is a common side effect of Metformin?

  • Nausea (correct)
  • Muscle weakness
  • Headache
  • Hypoglycemia

What is the expected effect of Metformin on HbA1C levels?

<p>Decreases HbA1C by 1-2% (C)</p> Signup and view all the answers

What is a contraindication for the use of Metformin?

<p>Severe renal dysfunction (eGFR &lt; 30 mL/min) (B)</p> Signup and view all the answers

What is a clinical pearl to keep in mind when using Metformin?

<p>It can cause anemia (B)</p> Signup and view all the answers

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Study Notes

Diabetes Mellitus

  • Diabetes Mellitus is a disease in which insulin, a hormone that secretes glucose for energy, is insufficient or ineffective.

DM1 vs DM2

  • DM1 is often seen in children, also known as "Kitsis".
  • DM2 accounts for 90% of all diabetes cases.

Oral Treatment Options

  • Biguanides: a class of medications used to treat diabetes.
  • Medication: Metformin.
  • Mechanism of Action (MOA): decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity.
  • Effects:
    • Weight Neutral.
    • Lowers HbA1C by 1-2%.
  • Side Effects:
    • Diarrhea.
    • Nausea.
    • Flatulence.
    • Vitamin B12 Deficiency, which can lead to anemia if left untreated.
  • Clinical Pearls:
    • Contraindicated in severe renal dysfunction (eGFR < 30 mL/min).

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