Alpha-Gucosidase Inhibitor
·
Acarbose
·
Miglitol
- Inhibit enzyme alpha glucosidase
: delay absorption of
-
Effects
glucose
* Does not enhance insulin
secretion
Biguanide - For PCOS also
Metformin
·
in cells
-
increase up take of glucose
-
Does not cause hypoglycemia
-
Gl-distress , diarrhea
-
Dangerous effect
Lactic acidosis
Meglitinide
-increase insulin release
·
Nateglinide
·
Repaglinide
Synthetic Human Amylin
- modulate gastric Emptying
-
causing suing of fulness
a
Or
satiety
-
prevents post meal
rise in
glucagon
be used when patient
Should
* not
is unable to eat .
Incretin Mimetics
· Exanatide
&
Livaglutide insulin
secretion
-
enhance glucose
dependent
beta alls Secretion
by
-
depresses elected glucagon
DPP-4 inhibitor 4
Dipeptidyl peptidase
sitagliptin
Linagliptin saxagliptin
,
,
insulin section
* Prolong effects of
secretion
* Decrease glucagon
scow
* 21 emptying
Thiazolidinediones
pioglitazone
-
Rosiglitazone
-
& Decreases insulin resistance
Bromocriptine
-
Dopamine Agonist for
Parkinson's Disease
CNS
approved as a
was
approach to treat
type 2 Diabetes
Adverse Effects
·
Hypoglycemia
·
Lactic acidosis
-
Metformin
bladder Cancer
Pioglitazone
· -
ov problems
Rosiglitazone-
·
Nursing Responsibilities
relationship
appropriate
duge in the
·
Administer the
wI reals
dief
·
Healthy & strict
· BLOOD Glucose Monitoring
·
Promote Compliance