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10 Cards in this Set
- Front
- Back
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Nonpharmacologic treatment for diabetes |
Patient education lifestyle modifications self-monitoring of blood glucose levels |
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What are the names of the Rapid or short-acting insulins? |
Regular insulin insulin aspart Glulisine lispro |
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What are the names of the intermediate or long-acting insulin? |
NPH insulin insulin glargine insulin detemir |
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What is the treatment for type 1 diabetes? |
Lifestyle modifications insulin |
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What is the treatment for type 2 diabetes? |
First line (especially for obese)
biguanides metformin 500 - 2500 milligrams per day divided bid or tid. Start low and go slow to minimize GI side effects.
Little benefit is found Beyond 1500 milligrams per day of metformin.
Sulfonurea glyburide 2.5 - 20mg per day.
Give in 2 divided doses if daily dose is greater than 10mg |
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What are the side effects of metformin? |
Nausea diarrhea abdominal discomfort anorexia metallic taste lactic acidosis - - - > if hepatic or renal disease Potentiates other hypoglycemic agents. |
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When should you not use metformin in a diabetic? |
Liver or renal impairment or previous lactic acidosis |
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What are the side effects of sulfonurea Glyburide? |
Weight gain prolonged hyperglycemia potentiated by silicates, sulfonamides, MAOI, beta blockers.
May mask hypoglycemic symptoms.
contraindicated in type 1 diabetes |
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When would you not give a Glyburide? |
In type 1 diabetes! |
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Treatment for gestational diabetes |
Dietary counseling aerobic exercise self-monitoring insulin only |
