Sulfonylurea

Geriatric Assignment: Patient O.G The patient is a seventy-year-old female of Hispanic origin. O.G consent is available through appendices A. She is currently widowed. Husband died of a gunshot wound in 2000. The patient was born in Guatemala and came to the United States around the age of thirty. Her main language is Spanish but does understand and speaks English. For education the patient stopped going to school at age 8 during second grade, when she was taken out of school to help her mother with house work which is common in those parts of the world. She has a total of six children all living at least a 25-mile radius from her except for two daughters she left behind in Guatemala. The patient lives a single home house with her oldest daughter and her two grandchildren. Mrs. G. is still currently working, usually 2-3 days a week and 5-8 hours each day. She lives a simple life from working to coming home and enjoying some quality time with her grandchildren she states. Her chief complaint when interviewing her was an acute headache but other than that she was feeling perfectly fine she described. Acetaminophen brand Tylenol is the medication the patient takes when she experiences acute headaches her which helps alleviate the pain which she rates on a scale of 1-10 as 2 and 3 when at worst. As a child Mrs. G never had any health problems until five years ago, 2011, when she was hospitalized for symptoms of dizziness and fatigue. She was then diagnosed with type 2…

from different classes to help stabilize blood glucose levels. Metformin is typically the first medication prescribed for type 2 diabetes. The way Metformin works is by improving the sensitivity of the body tissues to insulin so that the body could more effectively use insulin. Metformin also lowers the production of glucose in the liver (Mayo Clinic, 2016). Another class of medications that helps the body secrete more insulin is known as the Sulfonylureas . Similarly, the Meglitinides is…

The first treatment is taking insulin. Anyone who is diagnosed with type 1 diabetes most likely needs insulin therapy for life. There are many types of insulin such as: rapid-acing insulin, long-acting insulin, and intermediate options. Also, some have to take medications. Some medications include Metformin, Sulfonylureas, Meglitinides, DPP-4 Inhibitors, and many more. In addition, it is important for a patient diagnosed with type 1 diabetes to count carbohydrates and eat healthy. This is so…

for the dental hygienist to provide a stress free environment. The dental hygienist should also schedule dental appointment 1.5 to 2 hours after a patient has eaten and has taken regular antidiabetes medication (Haveles, 2011, 254). Insulin agents have a major difference related to the onset and duration of action. The action of insulin can be divided into rapid-acting, short-acting, intermediate acting, and long-action (Haveles, 2011, 256). Dental cautions related to an increase or sudden…

“The key goals are weight reduction with diet and regular sustained exercise managing childhood diabetes is exercise and eating correctly to better help the body” (cite wilson valerie pgs 16-20). Experts recommend at least 30 minutes of aerobic exercise, so joining a sport would highly benefit the child suffering from diabetes. The second thing to manage childhood diabetes is medication. Two that have been shown to help include metformin and sulfonylureas. Metformin works by improving the…

For 10 years the patient was in stage 1 of diabetes mellitus and was treated with only an AMPK agonist, which simulated exercises effects and independently brought glucose into cells without insulin’s effects. Stage 1 is where the patient has insulin resistance/tolerance, but still functional beta cells, which produce increasing amounts of insulin to overcome tolerance. The patient has now moved to stage 2 of type II diabetes, which means she still has insulin resistance but now has beta cell…

Komboglyze is prescribed to a patient who has been on the maximum tolerated Metformin dose and whose blood glucose levels have not been regulated effectively or to someone who is taking Metformin and Saxagliptin as separate drugs. It can be combined with a sulfonylurea such as Gliclazide or insulin to achieve the targeted results of blood glucose levels. How does Komboglyze work? The drug is available as an extended release tablet and can only be purchased with a doctor’s prescription. The…

level are uncontrolled and unmanaged Pharmacological medication must be included in the physician plan of treatment for the type 2 DM patients with consideration their patient-centered approach. The new guidelines for treating a diabetic patients suggests that if the level of A1C remain high after three months of the new precaution healthy life style, adding metformin agent that has high efficacy, low risk of hypoglycemia, neutral loss of weight, few side effects, and low cost must be required…

onset of 5-20 minutes, a peak of 30 minutes - an hour, and a duration of 1-5 hours, which are Humalog, Novolog, and Apidra. Regular insulin has an onset of 30-60 minutes, a peak of 2-4 hours, and a duration of 2-8 hours, which are Humulin R, Ilentin II R, and Novolin R . Intermediate acting has an onset of 1-2.5 hours, a peak of 7-15 hours and a duration of 24 hours long, which are the NPH or Novolin N, Humulin N, NPH Ilentin II, and the Lente or Humulin L and Lente Ilentin II. Also the…

The thrifty gene hypothesis postulates that, due to dietary scarcity during human evolution, people are prone to obesity. Their ability to take advantage of rare periods of abundance by storing energy as fat would be advantageous during times of varying food availability, and individuals with greater adipose reserves would be more likely to survive famine. This tendency to store fat, however, would be maladaptive in societies with stable food supplies. This theory has received various…