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DRUGS FOR THE TREATMENT OF DIABETES MELLITUS

2. DIABETES MELLITUS. Affects approx. 5

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DRUGS FOR THE TREATMENT OF DIABETES MELLITUS

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    1. 1 DRUGS FOR THE TREATMENT OF DIABETES MELLITUS

    2. 2 DIABETES MELLITUS Affects approx. 5 – 8 % Mostly asymptomatic Tendency increase with obesity One of the leading cause of death by disease One of the leading cause of blindness One of the leading cause of renal failure

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    4. 4 EFFECTS OF INSULIN CARBOHYDRATES

    5. 5 INSULIN DEFICIENCY – DIABETES MELLITUS GLUCOSE UPTAKE HYPERGLYCEMIA GLYCOSURIA DEHYDRATION,

    6. 6 Insulin Degradation Hydrolysis of the disulfide linkage between A&B chains. 60% liver, 40% kidney(endogenous insulin) 60% kidney,40% liver (exogenous insulin) Half-Life 5-7min (endogenous insulin) Delayed-release form( injected one) Category B ( not teratogenic) Usual places for injection: upper arm, front& side parts of the thighs& the abdomen. Not to inject in the same place ( rotate) Should be stored in refrigerator& warm up to room temp before use. Must be used within 30 days.

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    16. 16 Methods of Adminisration Insulin Syringes Pre-filled insulin pens External insulin pump Under Clinical Trials Oral tablets Inhaled aerosol Intranasal, Transdermal Insulin Jet injectors Ultrasound pulses

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    20. 20 Oral Hypoglycemics All taken orally in the form of tablets. Pts with type11 diabetes have two physiological defects: Abnormal insulin secretion Resistance to insulin action in target tissues associated with decreased number of insulin receptors

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    37. 37 Advantages of Metformin over SUs Does not cause hypoglycemia ( why ? ) Does not result in wt gain ( why ? ) ( Ideal for obese pts )

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