Diabetes

Brand Name

100

Metformin

Glucophage, Fortamet, Glumetza

200

Ertugliflozin

Steglatro

300

liraglutide, dulaglutide, exantide, lixisenatide

Victoza, Trulicity, Byetta, Adlyxin

400

Glipizide, Glimepiride, Glyburide

Glucotrol, Amaryl, Glynase

500

sitagliptin, linagliptin, saxagliptin, rosiglitazone, pramlinitide

Januvia, Tradjenta, Onglyza, Avandia, Symlin

Insulin

100

Rapid acting

Humalog (lispro) & Novolog (aspart)

200

Short Acting

Novolin R, Humulin R

300

Intermediate Acting

NPH (Humulin N, Novolin N)

400

Long Acting

detemir (levemir), glargine (lantus/toujeo), degludec (tresiba)

500

Storage: RA (pens/vials), SA (pens/vial), IA (pen), LA (pen)

RA: 28 days, SA 28 days pen/40 days vial, IA 14 days, LA 28 days (lantus, basaglar, semglee)/56 days(tresiba/toujeo)

Drug Warnings

100

Lactic Acidosis/GFR <30

Metformin

200

Ketoacidosis/Urinary Tract Infections

SGLT2

300

Which agent is associated with foot amputations?

Invokana (canagliflozin)

400

thyroid cancer, pancreatitis, severe GI disease

GLP-1 agonists

500

Heart failure

DPP-4 Inhibitors, TZDs (peripheral edema/weight gain)

Goals & Monitoring

100

Glycemic Tagets: A1C <___

7

200

Preprandial target: ___-____, 2 hours <____

80-130, <180

300

Hypoglycemia: <___, symptoms?

<70, symptoms: dizzy, anxiety, shakiness, sweating, hunger, confusion

400

Which agents do we need to monitor for renal function? CrCl <30

-metformin, SGLT2, exanatide, glyburide, insulin

500

how often do we monitor: diabetic foot infections, retinopathy, cholesterol, neuropathy

annually, 1-2 years, annually or 4-12 weeks after starting statin, annually

Counseling

100

rule of 15

Take 15 grams of glucose, recheck after 15 min, repeat steps 1-2 if needed, eat a small snack on BG is normal

200

Which insulin should come with its own syringe

Humulin R 500 (dark green cap)

300

Which agents are associated with weight gain? Hypoglycemia?

weight gain: SU, Meglitinides, TZDs, Insulin 

hypoglycemia: SU, Meglitnide, Insulin, Amylin analog

400

Carbohydrate Ratio: ST recieves 26u continuous + 24u daily due to bolus, what is her ratio?

the rule of 500: 500/50 u TDD insulin = 10 grams of carbs covered by 1 unit of insulin

500

Correction Factor: Regular (1500/TDD) & Rapid Acting

-> JJ uses 95u RA insulin daily, what is his factor?

-> JJ is at 200, he needs to be a 120 pre meal, how many units insulin needed? 

Rapid Acting (1,800/95u (TDD)) = 19 correction factor for 1u of RA insulin

-200-120/19 = 4 units insulin before dinner