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Diabetes Treatment
Downstate > MS2 Endocrine > Diabetes Treatment
23
Medical
Graduate
03/04/2011

Additional Medical Flashcards

 


 

Cards

Term
what causes microvascular disease?
Definition
hyperglycemia
Term
chronic kidney disease, foot problems, and eye damage are considered [micro/macro] vascular events?
Definition
microvascular
Term
MI, chest pain, CHD, stroke, and CHF are considered [micro/macro] vascular events?
Definition
macrovascular
Term
DCCT studied [type 1/type 2] DM
UKPDS studied [type 1/type2] DM
Definition
DCCT - type 1
UKPDS - type 2
Term
what is glycemic memory?
Definition
aka. legacy effect; early hyperglycemia causes glycalation of proteins and endothelial dysfunction; this damage persists despite later intensive treatment and is reflected as an elevated risk of microvascular events
Term
AE: increases risk of CV complications and fractures
Definition
TZDs
Term
AE: severe hypoglycemia
Definition
glyburide
Term
MOA of meglitinides
Definition
closes K-ATP channels to increase insulin secretion
Term
MOA (3) and AE of GLP-1R agonists
Definition
MOA: increases insulin secretion, inhibits glucagon secretion, inhibits hepatic GNG, causes satiety; AE: nausea
Term
MOA of metformin
Definition
insulin sensitizer; decreases hepatic GNG
Term
AE of metformin
Definition
lactic acidosis
Term
acarbose, miglitol
Definition
alpha-glucosidase inhibitors
Term
MOA of pramlintide
Definition
amylin mimetic; decreases glucagon secretion
Term
short-acting insulins (3)
Definition
Lispro, Aspart, Regular [FirstAid]
Term
intermediate insulin
Definition
NPH [FirstAid]
Term
long acting insulins (2)
Definition
glargine, detemir [FirstAid]
Term
1. short acting insulins are used to control post-prandial plasma glucose or fasting plasma glucose?
2. long acting insulins?
Definition
short acting -> post-prandial
long acting -> fasting
Term
target BP for therapy
Definition
140/80
Term
target LDL in presence of CV disease = ?
target LDL in absence of CV disease = ?
Definition
presence: 70mg/dl
absence: 100mg/dl
Term
tx for insulin-sensitive type 2 DM pts with normal BMI and low CV risks
Definition
sulfonylureas
Term
step 1 tx for DM type 2
Definition
metformin, TZD, or alpha-glucosidase inhibitor
Term
step 2 tx for DM type 2
Definition
sulfonylurea, meglitinides, DPP-4 inhibitor
Term
step 3 tx for DM type 2
Definition
insulin, incretin mimetics
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