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15 Cards in this Set
- Front
- Back
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Priorities in DM
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1. BP
2. Lipids 3. Vasculopathic Load 4. Microalbuminuria 5. Glucose |
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Dx DM
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DM Symptoms with random BG of >200
FBS >126 Oral Glucose Tolerance >200 |
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DM Symptoms
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Polyuria. polydipsia, Weight Loss
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DM Management
1 2 3 |
1. Lifestyle and metformin
2. Add insulin or SFU or glitazone 3. Increase insulin |
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Can you give Niacin in DM?
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Yes
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BP Control in DM
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ACE I then ARB
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What if proteinuria continues after ACEI?
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Add spironolactone
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DM Goals
BP Urine Alb LDL, TG A1C |
130/80
30mg/24hrs <100, <150 <7.0 |
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Metformin
Mech Effect on Weight SE |
Decrease GNG in Liver
Neutral Lactic Acidosis, GI |
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DPP4 Enzyme Inhibitors
Name Mech Effect on Weight SE |
Gliptin
Inhibit GLP1 degredation Neutral Unknown |
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Incretin Mimetics
Name Mech Effect on Weight SE |
Exenatide
Increase insulin at pancreas, decrease glucagon, inhibit GE Loss GI upset |
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SFU
Name Mech Effect on Weight SE |
GLpizide, Glyburide
Stimulate pancreas secretion of insulin Gain Hypoglycemia |
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Glitazones
Name Mech Effect on Weight SE |
Pia, Rosa
Decrease insulin resistance Increase Edema |
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Rx Improve Lipid Profile
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Metformin
Insulin Glitazones |
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Glucosidase inhibitors
Name Mech Effect on Weight SE |
Acarbose
Slows digestions of carbs Neutral GI |
