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5 Cards in this Set

  • Front
  • Back
Sulfonylureas
mechanisms: Big SE
increase release of insulin Hypoglycemia
increase receptor sensitivity

Examples: (end in 'ides') Tolazamide (Tolinase), Glyburide (Diabeta), Glimepiride (Amaryl)
BIGUANIDES
Mechanisms:
Decrease liver conversion of glycogen
decrease insulin resistance
BIG SE:
(less likely) for hypoglycemia
do not give if contrast medium
Examples: Metformin (Glucophage),

Ive contrast dye --> injection cannot give metformin-12-24 hrs before contrast --> can cause serious vascular damage
ALPHA-GLUCOSIDASE
Mechanisms:
slows carb digestion

Big SE:
hypoglycemia (less likely)

Examples: Acarbose (Precose), Miglitol (Glyset)
THIAZOLIDINEDIONES (do not use these as much anymore)
Mechanisms:
Increase sensitivity to insulin
Decrease creation of glucose

Big SE:
Fluid retention
Wt. Gain
Liver toxic

Examples: Rosiglitazone (Avandia), Ploglitazone (Actos)
MEGLITINIDES
Mechanisms:
Increase release of insulin

Big SE:
Hypoglycemia

Examples:
Nateglinide (Starlix), Repaglinide (Prandin)