-
Metformin
- inhibits glucose production in the liver
- reduces glucose absorption in gut
- can be used with sulf, glitazone, exena
- prevents type two
- se: NVD toxic- lactic acidosis
-
sulfonylureas
- promotes insulin relsease
- SE: hypoglycemia, cardio toxicity
- interact: drugs, alcohol, nsaids, sulf, -tidine, -lol
-
glinides
- -glinide
- se: hypoglycemia
- interact: Lopid
-
Thiazolidinediones (TZD)
- -glitazone
- reduce glucose leves by decreasing insulin resistance.
- se: hepatotoxicity?(new none) renal retention of fluid
=== HF!
-
alpha glycosidase inhibitor
- delay absorption of carbs
- can be used with others
- se: gi, liver dysfunction
- monitor every 3 mo and avoid metformin
-
stia-gliptin
- stim glucose release of insulin
- suppress post prandial release of glucagon
-
management of hhns
IV fluids, insulin, and electrolytes
-
glucagon
- or IV glucose
- insulin overdose.
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