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7 Cards in this Set

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Biguanide - types?

Metformin

Biguanide / Metformin:

Cellular mechanism

Activates AMP-kinase


Decreases hepatic glucose production

Biguanide / Metformin:


Advantages

- Extensive experience


- No hypoglycemia


- Decreases CVD events

Biguanide / Metformin:


Disadvantages

- GI side effects --> diarrhea, abdominal cramping


- Lactic acidosis


- B12 deficiency



Biguanide / Metformin:


Contraindications

- CKD


- Acidosis


- Hypoxia


- Dehydration

Sulfonylurea - types?

- Glyburide


- Glipizide


- Glimepiride

Sulfonylurea - Glyburide, Glipizide, Glimepiride


Mechanism

- Closes K-ATP channels on beta-cell plasma membranes


- Increases insulin secretion