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Pharmacology of Diabetes Treatment: Non-Insulin Agents

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54 Questions

What is a potential benefit of metformin in younger and obese patients?

Prevention of diabetes

What is a common side effect of sulfonylureas and meglitinides?

Hypoglycemia

How does acarbose work to lower blood sugar?

It delays absorption of carbohydrates in the intestine

What is a potential complication of insulin therapy?

Hypoglycemia

Why should patients taking metformin avoid alcohol consumption?

It increases the risk of lactic acidosis

What is the mechanism of action of thiazolidinediones?

They decrease insulin resistance

What is the primary mechanism of action of sitagliptin?

Minimizing the rate of inactivation of the hormone that stimulates insulin release

What is the main benefit of pramlintide therapy in Type 1 and Type 2 diabetes?

Improved postprandial glucose regulation

What is the primary indication for levothyroxine therapy?

Treatment of hypothyroidism

What is the expected outcome of propylthiouracil therapy in hyperthyroidism?

Reduced production of thyroid hormones

What is the main difference between exenatide and sitagliptin?

Exenatide stimulates the pancreas, while sitagliptin minimizes inactivation of insulin stimulators

What is the primary advantage of using gliptins over other oral antidiabetic medications?

Lower risk of hypoglycemia

What is the primary goal of 'tight control' in diabetes management?

To minimize the risk of microvascular complications

Which of the following insulin types does not have a peak action?

Ultra-long acting insulin

What is the primary indication for initiating drug therapy in Type 2 diabetes?

Failure of lifestyle modifications to control blood sugar

What is the consequence of increased caloric intake on insulin needs?

Insulin needs are increased

What is the administration route for insulin therapy?

Subcutaneous

What is the typical starting point for drug therapy in Type 2 diabetes?

Metformin

What is the primary benefit of gliptins in diabetes management?

Reducing the risk of hypoglycemia

What is the role of amylin analogs in diabetes management?

Regulating glucose levels post-prandially

What is the primary indication for levothyroxine therapy?

Hypothyroidism

What is the effect of incretin mimetics on pancreatic insulin secretion?

Increase insulin secretion

What is the primary goal of propylthiouracil therapy in hyperthyroidism?

Decreasing thyroid hormone production

What is a common side effect of gliptins?

Runny nose

Which oral antidiabetic medication does not cause hypoglycemia as a side effect?

Metformin

What is the effect of decreased caloric intake on insulin needs?

Decreased insulin needs

What is a common side effect of sulfonylureas and meglitinides?

Hypoglycemia

Which type of medication stimulates insulin release?

Sulfonylureas

What is the primary mechanism of action of thiazolidinediones?

Increasing insulin sensitivity

What is the effect of stopping certain medications on insulin needs?

Decreased insulin needs

What is the primary role of dietary measures in the treatment of Type 1 diabetes?

To be the cornerstone of treatment

What is the characteristic of long-acting insulin?

It does not have a peak action

What is the reason for increasing insulin dosage in some cases?

To accommodate increased caloric intake or weight gain

What is the significance of 'tight control' in Type 1 diabetes management?

It helps to reduce microvascular complications

What is the common method of administering insulin?

Subcutaneously, using a syringe and needle

What is the effect of pregnancy on insulin needs?

Insulin needs are increased

What is the effect of weight reduction on insulin needs?

Decreased

What is the primary mechanism of action of biguanides?

Reduce glucose production by the liver

Which oral antidiabetic medication is least likely to cause hypoglycemia?

Biguanides

What is the primary effect of alpha-glucosidase inhibitors on carbohydrate metabolism?

Delay absorption of carbohydrates

Which of the following medications is not an oral antidiabetic?

Insulin

What is the primary advantage of thiazolidinediones in diabetes management?

Decrease insulin resistance

What is the primary effect of sitagliptin on the hormone that stimulates insulin release?

It minimizes the rate of inactivation

What is the main benefit of pramlintide therapy in diabetes management?

It helps regulate glucose levels postprandially

What is the primary goal of levothyroxine therapy in hypothyroidism?

To replace the missing thyroid hormone

What is the primary effect of propylthiouracil therapy in hyperthyroidism?

It decreases the production of thyroid hormone

What is the primary mechanism of action of exenatide?

It stimulates the pancreas to secrete insulin

What is the primary indication for initiating pramlintide therapy in diabetes management?

Both Type 1 and Type 2 diabetes

What is the typical starting point for drug therapy in Type 2 diabetes?

Lifestyle measures plus metformin

What is the characteristic of long-acting insulin?

Does not have a peak

What is the primary goal of 'tight control' in diabetes management?

To reduce microvascular complications

What is the effect of increased caloric intake on insulin needs?

Increased insulin needs

What is the administration route for insulin therapy?

Subcutaneous

What is the primary role of dietary measures in the treatment of Type 1 diabetes?

To complement insulin therapy

Test your knowledge of non-insulin injectable agents used to treat diabetes, including gliptins, amylin analogs, and incretin mimetics. Learn about their mechanisms of action, side effects, and indications for use in Type 1 and Type 2 diabetes.

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