Notes in Diabetic Medications

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Published 09/11/2023 Hypoglycemics are used to treat {{c1::diabetes mellitus}}, condition of high blood sugar
Published 09/11/2023 Diabetes Mellitus*occurs when your body has trouble moving glucose from your {{c5::blood}} into your cells → high {{c5::blood}} glucose levels but cel…
Published 09/11/2023 pancreatic beta cells*main site of action of {{c1::sulfonylureas}}- have {{c3::calcium}} and ({{c7::ATP}} sensitive) {{c4::potassium}} ion channe…
Published 09/11/2023 Sulfonylureas*two classes of sulfonylureas, both taken {{c1::orally}}: → 1st generation: {{c2::chlorproPAMIDE}}, {{c3::TOLBUTamide}}, {{c4::TOLAZamide…
Published 09/11/2023 Meglitinides- prevent ATP-sensitive {{c1::potassium}} pumps from opening*same mechanism as sulfonylureas, but more {{c4::rapid}}-acting with {{c4::sho…
Published 09/11/2023 Incretins- {{c5::hormones}} that aid in lowering blood glucose levels by stimulating {{c1::insulin release}} after a meal*incretins account for 60 to …
Published 09/11/2023 DPP-4 ({{c1::Dipeptidyl Peptidase 4}}) inhibitors- examples: {{c5::SITagliptin}} and {{c6::sAXagliptin}}*administered {{c8::orally}}, unlike…
Published 09/11/2023 mnemonic for insulin secretagogues: insulin castle
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Published 09/11/2023 insulin is produced by beta cells found within clusters of endocrine cells called the {{c1::Islets of Langerhans}} distributed across the pancreas
Published 09/11/2023 two common insulin-responsive tissues are {{c1::muscle}} cells and {{c2::adipose}} tissue
Published 09/11/2023 insulin receptor- {{c2::alpha}} subunits: located outside cell,  bind insulin- {{c2::beta}} subunits: within cell, have {{c1::tyrosine kinase}} a…
Published 09/11/2023 exogenous insulins*can be used for type 1 and later stages of type 2 DM- insulins administered {{c1::subcutaneously}} → broken down in GI tract*inject…
Published 09/11/2023 insulin preparations*categorized according to their {{c1::onset}} of action and {{c1::duration}} of effect:→ {{c2::rapid}}-acting→ {{c2::short}}-…
Published 09/11/2023 {{c10::insulins}} are preferred medications in managing diabetes in {{c9::pregnancy}} and {{c9::breastfeeding}}
Published 09/11/2023 rapid-acting insulins - insulin {{c1::aspart}}, {{c2::lispro}}, {{c3::glulisine}}   - administered {{c4::subcutaneously}} - modified versions of…
Published 09/11/2023 short-acting / regular insulin- only type of insulin that could be administered {{c1::subcutaneously}} and {{c1::intravenously}}  - {{c2::hexamer…
Published 09/11/2023 intermediate-acting insulin *aka {{c1::neutral protamine Hagedorn (NPH)}} insulin    - created through addition of protamine and {{c2:…
Published 09/11/2023 long-acting insulin- insulin {{c2::glargine}} and {{c1::detemir}}- {{c2::glargine}} forms a precipitate of microcrystals at site of injection → signif…
Published 09/11/2023 ultra long-acting insulin- insulin {{c1::degludec}}- formed by the deletion of a single {{c2::amino acid}} from regular insulin- {{c3::depot injection…
Published 09/11/2023 side effects of insulin therapy- risk of {{c1::hypoglycemia}} due to administration of too much insulin*more common with insulins that have a {{c2::pe…
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