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20 Cards in this Set

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Sulfonylureas Method of Action
Stimulate release of pancreatic Islet Cells
Derivatives of sulfa antibiotics
Sulfonylureas- types
Glucotrol
Glucotrol XR
Glyburide(Micronase)
Glimepiride(Amaryl)
Sulfonylureas adverse effects
Hypoglycemia
Kidney or renal disfucntion
Contrainidicated in pregnancy
Meglitinides Method of Action
Stimulate Insulin release
Meglitinide Type
Repaglanide (Prandin)
Meglitinide Adverse Effects
Hypoglycemia
Liver disease
Pancreaatitis
Biguanides -Types
Glucophage (Metformin)
Glucopharge XR
Bigunanides Method of Action
Decrease production of glucose in the liver
Suppress Gluconeogenesis
Enhance glucose uptake in Muscle
Biguanides Side Effects
Decreased appetite,Nausea and Diarrhea
Lactic acidosis(Rare medical emergency)
Fluid and water retention
Biguanides Nursing Care
Creatinine
Weight checks
(does not cause hypoglycemia
Thiazolidinediones types
Pioglitazone(Actos)
Rosiglitazone( Avandia)
Thiazolidinediones Method of action
Reduce insulin resistance
Activate a receptor-PPAR gamma
Thiazolidinediones Adverse effects
Prominent fluid retention
Hepatotoxic
Heart failure and MI
Alpha Glucosidase Inhibitor Types
Glyset and Precose
Alpha Glucosidase Inhibitor Method of action-Arcabose
delay diatery absorption of carbohydrate enzyme on brush border of intestine -Arcabose does this
Alpha glucosidase is a hormone in the small intestine,-
only 2 % is active in system
Alpha Glucosidase Inhibitor adverse effects
Flatulence
Borborygmus (rumbling stomach)
Diarrhe
Decrease iron absorption
Risk of liver disease(warn patient)
Incretin Mimetics Types
Exanatide (Byetta)
Incretin Mimetics Method OF ACTION
Bind to glucarcon like peptide
Slow gastric emptting
Stimulate release of insulin
Inhibit post prandial release of glucagom-category X
DDP inhibitors types
Sitagliptin (Januvia) & Saxagliptin (Onglyza)
DDP inhibitors Method of action (sitagliptin-Januvia)
DDP inhibitors adverse effects
Inactivate breakdown of incretin mimetics
Adversity-Gas
(Dypeptidale peptidase 4
Normal function of DDP 4 is to break down incretins