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6 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Biguinide |
Met firm in, first line Insulin sensitized GI upset Lactic acidosis Stop using if GFR <30, liver, renal, alcoholic disease |
Big and wide |
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TZD |
Pioglitizone (actos) Insulin sensitize Check LFTs before during, water retention, edema Do not use in HF 3and 4, liver disease, pregnancy Decrease lipids and risk of MI |
Glitizone-no HF zone |
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Sulfonylures |
Glipizide (glucotrol) Constant insulin release Good for BG >300/A1C >9.5 Not good for older adults Increased risk of CV mortality Renault excreted, no kidney or liver disease |
Sugar “ide” hate to drop Sulfa allergy |
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DPP-4 inhibitors |
Sitagliptin (januvia) Insulin release post glucose rise Caution with heart failure May be renal protective and decrease albuminuria Joint pain, angioedema, acute pancreatitis |
Fall 4 duck lips (Lipton’s) |
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GLP-1 agonist Injection |
Exenatide (byetta), liraglutide (victoza) Insulin release post glucose rise Avoid in GI disease, pancreatitis CR clearance <30, family hx med thyroid CA, endocrine neoplasia Slows stomach empty, reduces cardiac events, lose weight |
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SGLT2 inhibitors |
Renal glucose excretion post glucose rise Canagliflozin (invokana), empagliflozin (jardiance) Don’t use GFR <30-45, UTI, candidiasis, bone fx, AKI, DKA Decrease of CV events, renal protective, slows CKD, decrease BP |
Flozin |
