Diabetes Drugs
What is a unique interaction of Metformin?
-- RARE TO SEE HYPOGLYCEMIA WITH METFORMIN
Should you monitor for hypoglycemia in pts taking Metformin?
-- Rare finding
How would a nurse instruct a pt taking Metformin who is going for a radiologic test with contrast?
--STOP METFORMIN FOR 48 HOURS BEFORE AND AFTER
-- CONTRAST FRO RADIOLOGIC TESTS (ACUTE RENAL FAILURE AND LACTIC ACIDOSIS)
What pts would not benefit from the use of Sulfonylureas?
-- Hypoglycemic
-- Stimulates the release of insulin from the pancreas--MUST HAVE FUNCTIONING BETA CELLS IN PANCREAS
What class of drugs should not be given with Glinides?
-- SULFONYLUREAS
What pts should not take Metformin?
-- PTS WITH RENAL OR LIVER DISEASE
-- Metabolic acidosis
-- alcholism
What are the AE's of Metformin?
-- GI upset: bloating, cramps, diarrhea
-- LACTIC ACIDOSIS
What is the most common AE of Sulfonylureas and how would you monitor for the AE?
-- Hypoglycemia
--WEIGHT GAIN
What are the names of the Sulfonylureas?
-- Glipizide
-- Glyburide
-- Glimepiride
What drug classes will interact with Sulfonylureas and affect the dose of glucose level?
-- Can lead to hypoglycemia (Beta Blockers, Cimetidine, some Antibiotics)
-- Can lead to high glucose levels (Seizure meds, Rifampin)
What is the downside to taking Glinides?
-- SHORT DURATION OF ACTION. GIVE WITH EACH MEAL!
BONUS QUESTION
(GOOD TO KNOW)!!
What are some pt education points that are important for diabetic drugs?
-- Good to wear a medical alert identification
-- Consistent diet, exercise, and weight control will prompt normal blood sugar
-- Unopened insulin can be kept in the refrigerator, Open vials keep at room temperature
-- Know the S/S's of high and low blood sugars
-- Discuss any other medications you take with your provider
-- Test your blood sugar regularly
-- THERE ARE DIABETIC EDUCATORS THAT SHOULD BE CONSULTED FOR ALL NEW DIABETICS