391 results
Type 2 Diabetes - Screening, Diagnosis and Management Algorithm
Lifestyle  Modifications (Diet and Exercise) -> Start
-> Start Oral Hypoglycemic ... -> Start Basal Insulin ... after starting insulin ... relative with DM2 ... Management #algorithm #DM2
INSULIN CONVERSION

Total daily dose of insulin (TDD) =
INSULIN CONVERSION ... & most type 2 DM ... or at risk for hypoglycemia ... #diabetes #hyperglycemia ... #dm2 #basalinsulin
Sulfonylureas - Pharmacology Summary
Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
cells, triggering insulin ... : Weight gain, Hypoglycemia ... Pharmacology #Summary #DM2
Oral Hypoglycemics in Diabetes Management
1  INSULIN SENSITIZER
 • TZD 
     -
Oral Hypoglycemics ... Management 1 INSULIN ... Glucophage) 2 INSULIN ... AmyChung #Oral #Hypoglycemics ... #pharmacology #DM2
Metformin Pharmacology Summary
Mechanisms of Action:
 • Suppresses gluconeogenesis by the liver
 • Increases insulin-mediated glucose utilization
• Increases insulin-mediated ... Does not cause hypoglycemia ... mL/minute/1.73 rm2 ... mL/minute/1.73 m2 ... Pharmacology #Summary #DM2
DPP4 Inhibitors - Normal and Renal Dosing

Increase Incretins (GLP-I & GIP) -> Stimulates Insulin, Inhibits Glucagon
-> Stimulates Insulin ... will stimulate insulin ... minimal chance of hypoglycemia ... Management #Diabetes #DM2
GLP-1 Agonists

Adlyxin (Lixisenatide) Daily
Bydureon (Exenatide ER) Weekly 
Ozempic (Semaglutide) Weekly 
Trulicity (Dulaglutide) Weekly 
Victoza (Liraglutide) Daily
medications for insulin ... a low risk of hypoglycemia ... Dosing #Diabetes #DM2
Hypoglycemia - Evaluation Algorithm
Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of
- Is there an insulin-like ... → Non-insulin/lGF-mediated ... Insulin - Is it ... insulin? ... → Exogenous Insulin
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup ... Ab - Insulin Autoimmune ... demand causes hypoglycemia ... fast to trigger hypoglycemic ... Medicine @SCVMCMed #Hypoglycemia
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... Features of hypoglycemia ... labs during a hypoglycemic ... episode: • Insulin ... • Glucose • Insulin