Diabetes: Medications

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Diabetes: Medications"

Transcription

1 Diabetes: Medications Presented by: APS Healthcare Southwestern PA Health Care Quality Unit (APS HCQU) May 2008 sh Disclaimer Information or education provided by the HCQU is not intended to replace medical advice from the consumer s personal care physician, existing facility policy or federal, state and local regulations/codes within the agency jurisdiction. The information provided is not all inclusive of the topic presented. Certificates for training hours will only be awarded to those who attend a training in its entirety. Attendees are responsible for submitting paperwork to their respective agencies. 2 1

2 Objectives Identify information a caretaker needs to know when administering medications Recognize signs and symptoms of low blood sugar (hypoglycemia) List considerations when planning daily activities for a person taking medication for diabetes 3 What is Diabetes? A disorder of metabolism A condition where the body has a shortage of insulin or decreased ability to use insulin, resulting in high blood sugar levels A leading cause of disability A growing epidemic in the US A manageable condition 4 2

3 Types of Diabetes Medications Insulin Oral Other 5 Insulin Therapy Is a protein, and must be injected or inhaled Insulin the mainstay of treatment for individuals with Type I diabetes Combinations of Insulin are frequently ordered to allow for better blood glucose control May be prescribed in some with Type II diabetes 6 3

4 Characteristics of Insulin Onset (starts working) Peak (maximum effect) Duration (length of time active in blood) 7 Types of Insulin Rapid acting Short acting Intermediate acting Long acting Very long acting Premixed 8 4

5 Rapid Acting Lispro (Humalog) Onset: 5 15 minutes Peak: minutes Duration: 3 4 hours Aspart (Novalog) Onset: minutes Peak: 1 3 hours Duration: 3 5 hours 9 Short Acting Regular (R) Insulin Onset: 30 minutes Peak: 2 5 hrs. Duration: 5 8 hrs 10 5

6 Intermediate Acting NPH (N) or Lente(L) Onset: 1 3 hrs Peak: 6 12 hrs Duration: hrs 11 Long Acting Ultralente (U) insulin Onset: 4 6 hrs Peak: 8 20 hrs Duration: hrs 12 6

7 Very Long Acting Insulin Glargine (Lantus) Onset: 1 hr Peak: works evenly for 24 hrs Duration: 24 hrs Taken once a day at bedtime Should not be mixed together in a syringe with any other form of insulin before use 13 Premixed NPH and Regular Insulin Mixture two types of insulin mixed together in 1 bottle Onset: 30 minutes Peak: 7 12 hrs Duration: hrs 14 7

8 Insulin Pump Controls the exact amount of insulin being delivered Closest device on the market to an artificial pancreas 15 Hypoglycemia Less than normal amount of glucose in the blood 16 8

9 Signs of Hypoglycemia Shakiness Nervousness Weakness Cold, clammy skin Hunger Irritability Headache Confusion Rapid heart beat Fainting Passing out Slurred or hard to understand speech 17 Hypoglycemia Response Observe Plan Ahead Have a Plan of Action in Place Document and Report 18 9

10 Insulin: Review Know response to Insulin Onset, peak and duration Avoid exercise at peak time of insulin Know the individual s response to medication and exercise 19 Storing Insulin If using entire bottle within 30 days, store at room temperature. Write date on bottle label when opened. If you do not plan to use entire bottle within 30 days, store in refrigerator Do not keep too hot or too cold Keep extra bottle on hand and store in refrigerator

11 Oral Medications (Classifications) Sulfonylureas Biquanides Alpha Glucosidase Inhibitors Thiazolidinediones Meglitinides D Phenylanine derivatives (DPP 4) Combination 21 Oral Medications: Need to Know Potential for low blood sugar reactions Time of day With/without meals? Side effects and special precautions of the medication Any special instructions 22 11

12 Considerations: Sulfonylureas Increases the production of insulin May cause hypoglycemia Can cause allergic reactions in individual who has allergies to sulfa medications 23 Considerations: Biguanides Can cause diarrhea, when taken on empty stomach Not ordered if history of kidney or liver disease Notify doctor of surgery or medical test using contrast dye Increases sensitivity to insulin Decreases production of glucose 24 12

13 Considerations: Alpha Glucosidase Inhibitors Taken 3xday Each meal, with the first bite of the meal Should not be taken by people with severe bowel or kidney disease or liver disorders Decreases the absorption of carbohydrates 25 Considerations: Thiazolidinediones Possible liver problems liver function needs to be assessed regularly ( Blood Tests) Report signs of liver problems to doctor that may include: weight gain, swelling. unusual nausea, vomiting, abdominal pain, dark urine Increases the sensitivity to insulin 26 13

14 Considerations: Meglitinides May cause hypoglycemia Effect is much stronger if taken 3 times a day Taken before meals Fast acting, allowing greater flexibility in meal timing 27 Combination May cause hypoglycemia 28 14

15 Recently Approved Injectable Drugs Symlin (Brand Name) Pramlintide (Generic) Byetta (Brand Name) Exenatide (Generic) 29 Medication Management Review More than administration Involves knowledge Maximizes benefits Achieves therapeutic outcomes 30 15

16 Drug Actions: A Review Once administered, all drugs go through these processes: Absorption Distribution Metabolism Excretion 31 Why is Review Important? What we already know: 1. People with Diabetes frequently have many co existing medical diagnoses 2. Therefore, they are at higher risk of delayed absorption, distribution, metabolism, and excretion 3. Additionally, they are at higher risk for drug to drug interactions due to these delays 32 16

17 Use Medications Wisely Be alert for interactions Check with Doctor Be informed 33 Important Things to Consider Risk of hypoglycemia Activities throughout day 34 17

18 Remember Medications help lower blood glucose levels to help reduce risk for long term complications Medications work best when combined with supervision from the doctor and an appropriate meal plan and exercise program 35 Remember Hand washing is the single most effective way to prevent the spread of illness and germs ALWAYS wash your hands before, and after contact with every person for whom you provide care Including between medication administration to more than one individual 36 18

19 References (retrieved 10/19/2007) (retrieved 9/12/2007) National Institute of Health; Fact Sheet Diabetes Type 2 37 Suggested Supplemental Training Diabetes: Basics Diabetes: Complications Diabetes: Nutrition 38 19

20 To register for future trainings, or for more information on this or any other physical or behavioral health topic, please visit our website at

21 Evaluation Please take a few moments to complete the evaluation form found in the back of your packets. Thank You! 41 Test Review There will be a test review after all tests have been completed and turned in to the Instructor

22 Diabetes: Oral Medications Sulfonylureas Generic Name Glimepiride Glyburide Chlorpropamide Acetohexamide glipizideglucotrol, tolbutamidetolinase, Brand Name Amaryl Diabeta, glynase, micronase Diabinese Dymelor Glucotrol XL Orinase Increase the production of insulin and help the body to use insulin. Side effects: hypoglycemia (low blood sugar), and more rarely, weight gain, upset stomach and allergic reactions in people who have allergy to sulfa medications. Pancreas has to make some insulin for these pills to work. Can make the blood glucose too low. (hypoglycemia) If taken 1xday, take before first meal, if taken 2xday the second just before the last meal of the day. Take same time everyday. Biguanides Generic Name Metformin Brand Name Glucophage, Glucophage XL Increases the potency of insulin secreted by the pancreas, and decreases the amount of sugar made by the liver. Not likely to cause hypoglycemia. Can cause diarrhea, when taken on empty stomach. Lactic acidosis. Tell the doctor you are on this medication if you are having surgery or any medical test using dye It can also improve blood fat and cholesterol levels.

23 Alpha-Glucosidase Inhibitiors Generic Name miglitol acarbose Brand Name Glyset Precose Slow down the absorption of sugar in the blood Side Effects: Gastrointestinal distress, including gas and diarrhea Should not be taken by people with severe bowel or kidney disease or liver disorders. These are taken 3xday, at each meal, with the first bite of the meal. Thiazolidinediones Generic Name Pioglitazone Brand Name Actos By making the cells more sensitive to insulin the insulin can then move glucose from the blood where levels are high, into the cells to be used for energy. Take the same time each day, usually once a day, with or without a meal. This will not cause blood glucose to drop, but if taken with other diabetes medicines with this group, blood glucose might drop too low. Birth control pills may be less effective with this medicine in preventing pregnancy May gain weight with this medicine. May be at risk of developing anemia, and congestive heart failure. This medicine usually works well with a sulfonylurea, metformin or insulin.

24 Meglitinides Generic Name Repaglinide Nateglinide Brand Name Prandin Starlix Stimulates the pancreas to produce more insulin Effect is much stronger if taken 3 times a day before meals. Fast acting, allowing greater flexibility in meal timing. Some people develop hypoglycemia with this drug. Should not be used by people with Type I diabetes This medicine is taken before eating a meal. If a meal is skipped, the dose should not be given. Taken no more than 30 minutes before the meal. D-Phenylalanine Derivatives DPP-4 Generic Name Sitaglipin Brand Name Januvia This medicine helps the pancreas to make more insulin quickly and for a shout time. The insulin then lowers the blood glucose after you eat a meal Taken once a day, either alone or with diet and exercise and/or other oral diabetes medications.

25 Combination Oral Medication: Generic Name glyburide+metformin hydrochloride Brand Name Glucovance A single pill that combines a sulfonylurea with a biguanide Can increase both supply and effectiveness of insulin Side effect: can cause hypoglycemia. Not to be used by Type I Diabetes Mild diarrhea or upset stomach, but usually goes away within a few weeks May cause blood glucose to drop too low. May not be ordered if have kidney problems If having tests requiring dye, or surgery, will be instructed to stop for a short time Should not be used if frequently drink alcohol

26 Recently Approved Injectable Drugs ( Non-Insulin) pramlintide (generic) Symlin (Brand name) exenatide (generic)- Byetta (Brand name) Symlin: Cannot be combined in vial or syringe with insulin and must be injected separately. Approved for individuals with type I diabetes who are not achieving their a1c goals, and for individuals with type 2 who are using insulin and not achieving a1c goals Byeta: Works to lower glucose levels by increasing insulin secretion, only when blood glucose levels are elevated. Injected with meals. Moderate weight loss noted. Reviewed /sh

10/30/2012. Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University of South Alabama Mobile, Alabama

10/30/2012. Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University of South Alabama Mobile, Alabama Faculty Medications for Diabetes Satellite Conference and Live Webcast Wednesday, November 7, 2012 2:00 4:00 p.m. Central Time Anita King, DNP, RN, FNP, CDE, FAADE Clinical Associate Professor University

More information

Medicines Used to Treat Type 2 Diabetes

Medicines Used to Treat Type 2 Diabetes Goodman Diabetes Service Medicines Used to Treat Type 2 Diabetes People who have type 2 diabetes may need to take medicine to help lower their blood glucose, in addition to being active & choosing healthy

More information

Pills for Type 2 Diabetes. A Guide for Adults

Pills for Type 2 Diabetes. A Guide for Adults Pills for Type 2 Diabetes A Guide for Adults December 2007 Fast Facts on Diabetes Pills n Different kinds of diabetes pills work in different ways to control blood sugar (blood glucose). n All the diabetes

More information

FYI: (Acceptable range for blood glucose usually 70-110 mg/dl. know your institutions policy.)

FYI: (Acceptable range for blood glucose usually 70-110 mg/dl. know your institutions policy.) How Insulin Works: Each type of insulin has an onset, a peak, and a duration time. Onset is the length of time before insulin reaches the bloodstream and begins lowering blood Peak is the time during which

More information

Medications for Diabetes

Medications for Diabetes AGS Diab Med Brochure 4/18/03 3:43 PM Page 1 Medications for Diabetes An Older Adult s Guide to Safe Use of Diabetes Medications THE AGS FOUNDATION FOR HEALTH IN AGING AGS Diab Med Brochure 4/18/03 3:43

More information

Oral Therapy for Type 2 Diabetes

Oral Therapy for Type 2 Diabetes Oral Therapy for Type 2 Diabetes Diabetes pills can help to manage your blood sugar. These pills are not insulin. They work to manage your blood sugar in several ways. You may be given a combination of

More information

Medicines for Type 2 Diabetes A Review of the Research for Adults

Medicines for Type 2 Diabetes A Review of the Research for Adults Medicines for Type 2 Diabetes A Review of the Research for Adults Is This Information Right for Me? Yes, if: Your doctor or health care provider has told you that you have type 2 diabetes and have high

More information

My Doctor Says I Need to Take Diabetes Pills and Insulin What Do I Do Now? BD Getting Started Combination Therapy

My Doctor Says I Need to Take Diabetes Pills and Insulin What Do I Do Now? BD Getting Started Combination Therapy My Doctor Says I Need to Take Diabetes Pills and Insulin What Do I Do Now? BD Getting Started Combination Therapy Combination Therapy Adding medication and/or insulin to better manage diabetes What is

More information

WORKING TOGETHER TO MANAGE DIABETES

WORKING TOGETHER TO MANAGE DIABETES WORKING TOGETHER TO MANAGE DIABETES DIABETES MEDICATIONS SUPPLEMENT SECTION A DIABETES MEDICATIONS Agent Class Primary Action Typical Dosage Side Effects Tolbutamide (Ornase TM ) Tolazamide (Tolinase TM

More information

Type 2 Diabetes Medicines: What You Need to Know

Type 2 Diabetes Medicines: What You Need to Know Type 2 Diabetes Medicines: What You Need to Know Managing diabetes is complex because many hormones and body processes are at work controlling blood sugar (glucose). Medicines for diabetes include oral

More information

Diabetes Treatments: Options for Insulin Delivery. Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute

Diabetes Treatments: Options for Insulin Delivery. Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute Diabetes Treatments: Options for Insulin Delivery Bonnie Pepon, RN, BSN, CDE Certified Diabetes Educator Conemaugh Diabetes Institute Diabetes 21 million people in the U.S. have diabetes $132 billion each

More information

DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS

DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS Section Two DIABETES MEDICATION-ORAL AGENTS AND OTHER HYPOGLYCEMIC AGENTS This section will: Describe oral agents (pills) are specific for treating type 2 diabetes. Describe other hypoglycemic agents used

More information

What I need to know about. Diabetes Medicines. National Diabetes Information Clearinghouse

What I need to know about. Diabetes Medicines. National Diabetes Information Clearinghouse What I need to know about Diabetes Medicines National Diabetes Information Clearinghouse What I need to know about Diabetes Medicines Contents What do diabetes medicines do?... 1 What targets are recommended

More information

What is Diabetes? Diabetes Medications AGENDA

What is Diabetes? Diabetes Medications AGENDA Diabetes Medications AGENDA 1. What is Diabetes? 2. The Four Key Players 3. How medications can help 4. Blood Glucose Monitoring 5. Treatment of Low Blood Sugars What is Diabetes? 1 What IS Diabetes? Diabetes

More information

Oral Drugs For Type2. Diabetes. Getting the Most Value for Your Healthcare Dollar

Oral Drugs For Type2. Diabetes. Getting the Most Value for Your Healthcare Dollar 1 Oral Drugs For Type2 Diabetes Getting the Most Value for Your Healthcare Dollar 2 Contents What is Type 2 Diabetes? Page 2 Diagnosing Diabetes Page 4 Treating Type 2 Diabetes Page 6 Oral Drugs for Diabetes

More information

Management of Clients with Diabetes Mellitus

Management of Clients with Diabetes Mellitus Management of Clients with Diabetes Mellitus Black, J.M. & Hawks, J.H. (2005) Chapters 47, (pp 1243-1288) 1288) Baptist Health School of Nursing NSG 4037: Adult Nursing III Carole Mackey, MNSc,, RN, PNP

More information

Fundamentals of Diabetes Care Module 5, Lesson 1

Fundamentals of Diabetes Care Module 5, Lesson 1 Module 5, Lesson 1 Fundamentals of Diabetes Care Module 5: Taking Medications Healthy Eating Being Active Monitoring Taking Medication Problem Solving Healthy Coping Reducing Risks Foundations For Control

More information

How do oral medications work?...50 How many pills will I have to take?...51

How do oral medications work?...50 How many pills will I have to take?...51 taking medication taking medication medication medication medication medication medication Diabetes medications come in two broad categories, oral medications (pills) and injectable medications (shots).

More information

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur?

Diabetes, Type 2. RelayClinical Patient Education Sample Topic Diabetes, Type 2. What is type 2 diabetes? How does it occur? What is type 2 diabetes? Type 2 diabetes is a disorder that happens when your body does not make enough insulin or is unable to use its own insulin properly. The inability to use insulin is called insulin

More information

Pharmaceutical Management of Diabetes Mellitus

Pharmaceutical Management of Diabetes Mellitus 1 Pharmaceutical Management of Diabetes Mellitus Diabetes Mellitus (cont d) Signs and symptoms 2 Elevated fasting blood glucose (higher than 126 mg/dl) or a hemoglobin A1C (A1C) level greater than or equal

More information

Diabetes Fundamentals

Diabetes Fundamentals Diabetes Fundamentals Prevalence of Diabetes in the U.S. Undiagnosed 10.7% of all people 20+ 23.1% of all people 60+ (12.2 million) Slide provided by Roche Diagnostics Sources: ADA, WHO statistics Prevalence

More information

Noninsulin Diabetes Medications Summary Chart Medications marked with an asterisk (*) can cause hypoglycemia MED GROUP DESCRIPTOR

Noninsulin Diabetes Medications Summary Chart Medications marked with an asterisk (*) can cause hypoglycemia MED GROUP DESCRIPTOR Noninsulin Diabetes Medications Summary Chart Medications marked with an asterisk (*) can cause MED GROUP DESCRIPTOR INSULIN SECRETAGOGUES Sulfonylureas* GLYBURIDE* (Diabeta) (Micronase) MICRONIZED GLYBURIDE*

More information

DIABETES EDUCATION. *Read package insert each time you refill your medications in case there is new information SULFONYLUREAS

DIABETES EDUCATION. *Read package insert each time you refill your medications in case there is new information SULFONYLUREAS DIABETES EDUCATION *Read package insert each time you refill your medications in case there is new information SULFONYLUREAS ACTION: Sulfonylureas stimulate the pancreas to make more insulin (pancreas

More information

MEDICATION GUIDE ACTOPLUS MET (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets

MEDICATION GUIDE ACTOPLUS MET (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets MEDICATION GUIDE (ak-tō-plus-met) (pioglitazone hydrochloride and metformin hydrochloride) tablets Read this Medication Guide carefully before you start taking and each time you get a refill. There may

More information

Chapter 4 Type 2 Diabetes

Chapter 4 Type 2 Diabetes Chapter 4 Type 2 Diabetes (previously referred to as adult onset diabetes or non-insulin dependent diabetes) H. Peter Chase, MD Cindy Cain, RN, CDE Philip Zeitler, MD This is the most common type of diabetes

More information

Medications for Type 2 Diabetes

Medications for Type 2 Diabetes Main Page Risk Factors Symptoms Diagnosis Treatment Screening Complications Reducing Your Risk Talking to Your Doctor Living With Type 2 Diabetes Resource Guide Medications for Type 2 Diabetes by Karen

More information

Add: 2 nd generation sulfonylurea or glinide or Add DPP-4 inhibitor Start or intensify insulin therapy if HbA1c goals not achieved with the above

Add: 2 nd generation sulfonylurea or glinide or Add DPP-4 inhibitor Start or intensify insulin therapy if HbA1c goals not achieved with the above Guidelines for Type Diabetes - Diagnosis Fasting Plasma Glucose (confirm results if borderline) HbAIC Normal FPG < 00 < 5.5 Impaired Fasting Glucose (IFG) 00 to < 5.7%-.5% Diabetes Mellitus (or random

More information

Comparing Medications for Adults With Type 2 Diabetes Focus of Research for Clinicians

Comparing Medications for Adults With Type 2 Diabetes Focus of Research for Clinicians Clinician Research Summary Diabetes Type 2 Diabetes Comparing Medications for Adults With Type 2 Diabetes Focus of Research for Clinicians A systematic review of 166 clinical studies published between

More information

Diabetes WHAT YOU NEED TO KNOW. What is Diabetes? Inside:

Diabetes WHAT YOU NEED TO KNOW. What is Diabetes? Inside: Diabetes WHAT YOU NEED TO KNOW What is Diabetes? Diabetes means that there is too much sugar in your blood. Too much sugar causes damage to the body. Diabetes happens when there is a problem with a hormone

More information

Antidiabetic Drugs. Mosby items and derived items 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

Antidiabetic Drugs. Mosby items and derived items 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Antidiabetic Drugs Mosby items and derived items 2011, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. Diabetes Mellitus Two types Type 1 Type 2 Type 1 Diabetes Mellitus Lack of insulin production

More information

Mary Bruskewitz APN, MS, RN, BC-ADM Clinical Nurse Specialist Diabetes

Mary Bruskewitz APN, MS, RN, BC-ADM Clinical Nurse Specialist Diabetes Mary Bruskewitz APN, MS, RN, BC-ADM Clinical Nurse Specialist Diabetes Objectives Pathophysiology of Diabetes Acute & Chronic Complications Managing acute emergencies Case examples 11/24/2014 UWHealth

More information

Type 2 diabetes Definition

Type 2 diabetes Definition Type 2 diabetes Definition Type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes. Causes Diabetes

More information

Let s Talk About Meters and Meds. Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014

Let s Talk About Meters and Meds. Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014 Let s Talk About Meters and Meds Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014 How to monitor diabetes control: Hemoglobin A 1 C, or just A 1

More information

medications for type 2 diabetes

medications for type 2 diabetes Talking diabetes No.25 Revised August 2010 medications for type 2 diabetes People with type 2 diabetes are often given medications including insulin to help control their blood glucose levels. Most of

More information

My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started. Combination Therapy

My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started. Combination Therapy My Doctor Says I Need to Take Diabetes Pills and Insulin... What Do I Do Now? BD Getting Started Combination Therapy How Can Combination Therapy Help My Type 2 Diabetes? When you have type 2 diabetes,

More information

INSULINThere are. T y p e 1 T y p e 2. many different insulins for

INSULINThere are. T y p e 1 T y p e 2. many different insulins for T y p e 1 T y p e 2 INSULINThere are many different insulins for Characteristics The three characteristics of insulin are: Onset. The length of time before insulin reaches the bloodstream and begins lowering

More information

Overview of Diabetes Medications

Overview of Diabetes Medications Overview of Diabetes Medications Marie Frazzitta DNP, FNP c, CDE, MBA Senior Director of Disease Management North Shore LIJ Health Systems Normal Glucose Metabolism Insulin is produced by beta cells in

More information

Chapter 41. Pancreatic Hormones & Antidiabetic Drugs

Chapter 41. Pancreatic Hormones & Antidiabetic Drugs Chapter 41 Pancreatic Hormones & Antidiabetic Drugs Contents Pancreatic Hormones & Antidiabetic Drugs The endocrine pancreas Antidiabetic Drugs The Pancreas An organ that makes insulin and enzymes for

More information

Diabetes Mellitus Type 2

Diabetes Mellitus Type 2 Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates

More information

Treating Type 2 Diabetes: The Oral Diabetes Drugs. Comparing Effectiveness, Safety, and Price

Treating Type 2 Diabetes: The Oral Diabetes Drugs. Comparing Effectiveness, Safety, and Price Treating Type 2 Diabetes: The Oral Diabetes Drugs Comparing Effectiveness, Safety, and Price Our Recommendations Six types of oral medicines (and 11 individual drugs) are now available to help the 21 million

More information

medications for type 2 diabetes

medications for type 2 diabetes Talking diabetes No.25 Revised 2012 medications for type 2 diabetes People with type 2 diabetes are often given medications including insulin to help manage their blood glucose levels. Most of these medications

More information

Diabetes Management. Lisa Pezik RN, BScN Clinical Educator

Diabetes Management. Lisa Pezik RN, BScN Clinical Educator Diabetes Management Lisa Pezik RN, BScN Clinical Educator Objectives Review the physiology of diabetes. Compare the difference between hypoglycemia and hyperglycemia. Learn how to best monitor diabetes.

More information

Section 5: Type 2 Diabetes

Section 5: Type 2 Diabetes SECTION OVERVIEW Definition and Symptoms Blood Glucose Monitoring Healthy Eating Physical Activity Oral Medication Insulin Sharps Disposal Definition and Symptoms Type 2 diabetes is occurring more frequently

More information

Premixed Insulin for Type 2 Diabetes. a gu i d e f o r a d u lt s

Premixed Insulin for Type 2 Diabetes. a gu i d e f o r a d u lt s Premixed Insulin for Type 2 Diabetes a gu i d e f o r a d u lt s March 2009 What This Guide Covers / 2 Type 2 Diabetes / 3 Learning About Blood Sugar / 4 Learning About Insulin / 5 Comparing Medicines

More information

My Diabetes Care Plan

My Diabetes Care Plan My Diabetes Care Plan You may use the charts below to help you better understand your diabetes. Ask your healthcare provider to review your goals and targets with you. Discuss the results and set up an

More information

MEDICATION GUIDE KOMBIGLYZE XR (kom-be-glyze X-R) (saxagliptin and metformin HCl extended-release) tablets

MEDICATION GUIDE KOMBIGLYZE XR (kom-be-glyze X-R) (saxagliptin and metformin HCl extended-release) tablets MEDICATION GUIDE KOMBIGLYZE XR (kom-be-glyze X-R) (saxagliptin and metformin HCl extended-release) tablets Read this Medication Guide carefully before you start taking KOMBIGLYZE XR and each time you get

More information

Transitions: MNT for Basic Diabetes Medications to Complex Insulin Regimens. Sara Weigel RDN, LD, CDE MAND Annual Meeting May 1 st 2015

Transitions: MNT for Basic Diabetes Medications to Complex Insulin Regimens. Sara Weigel RDN, LD, CDE MAND Annual Meeting May 1 st 2015 Transitions: MNT for Basic Diabetes Medications to Complex Insulin Regimens Sara Weigel RDN, LD, CDE MAND Annual Meeting May 1 st 2015 Objectives 1) Describe and discuss some of the most common diabetes

More information

Diabetes: Beyond the D50. Leslie Huntington, BS, Paramedic Mobile Training Unit Oregon OHA-EMS and Trauma Systems

Diabetes: Beyond the D50. Leslie Huntington, BS, Paramedic Mobile Training Unit Oregon OHA-EMS and Trauma Systems Diabetes: Beyond the D50 Leslie Huntington, BS, Paramedic Mobile Training Unit Oregon OHA-EMS and Trauma Systems The EMS View of Diabetes Management BG low? Give some form of sugar. Hero! BG somewhere

More information

Medication Guide. SYMLIN (SĬM-lĭn) (pramlintide acetate) injection

Medication Guide. SYMLIN (SĬM-lĭn) (pramlintide acetate) injection Page 1 Medication Guide SYMLIN (SĬM-lĭn) (pramlintide acetate) injection Read the Medication Guide and the Patient Instructions for Use that come with your SYMLIN product before you start using it and

More information

10 to 30 minutes ½ to 3 hours 3 to 5 hours. 30 60 minutes 1 to 5 hours 8 hours. 1 to 4 hours

10 to 30 minutes ½ to 3 hours 3 to 5 hours. 30 60 minutes 1 to 5 hours 8 hours. 1 to 4 hours Insulin Action There are several types of insulin. They are classified by how long they act: very fast, fast, slow and very slow acting. Each type of insulin has a certain time period in which it works.

More information

Hypoglycemia. National Diabetes Information Clearinghouse

Hypoglycemia. National Diabetes Information Clearinghouse Hypoglycemia National Diabetes Information Clearinghouse U.S. Department of Health and Human Services NATIONAL INSTITUTES OF HEALTH What is hypoglycemia? Hypoglycemia, also called low blood glucose or

More information

Treating Type 2 Diabetes

Treating Type 2 Diabetes The Oral Diabetes Drugs Treating Type 2 Diabetes Comparing Effectiveness, Safety, and Price Our Recommendations Six classes of oral medicines (and 12 individual drugs) are now available to help the 25.8

More information

Treating Type 2 Diabetes

Treating Type 2 Diabetes The Oral Diabetes Drugs Treating Type 2 Diabetes Comparing Effectiveness, Safety, and Price Contents Our Recommendations........................................... 3 Welcome....................................................

More information

Treat Diabetes. Manage Your Blood Sugar

Treat Diabetes. Manage Your Blood Sugar Chapter 2 Manage Your Blood Sugar You Will Learn About: 1. What a glucometer is, how to read it and when to use it a. What is a glucometer? b. How is it used? c. When do you use it? 2. The A1c test a.

More information

Injectable Insulin During Pregnancy

Injectable Insulin During Pregnancy Injectable Insulin During Pregnancy What is insulin? Insulin is a hormone made by the pancreas. The pancreas is a small organ that lies behind and below the stomach. Insulin allows the food you eat to

More information

written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org

written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org written by Harvard Medical School Insulin Therapy Managing Your Diabetes www.patientedu.org What Is Insulin? The cells of your body need energy and one source of energy is sugar in your blood. Insulin

More information

DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY

DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY DIABETIC EDUCATION MODULE ONE GENERAL OVERVIEW OF TREATMENT AND SAFETY First Edition September 17, 1997 Kevin King R.N., B.S., C.C.R.N. Gregg Kunder R.N., B.S.N., C.C.T.C. 77-120 CHS UCLA Medical Center

More information

Endocrine Disorders. Diabetes Meds Objectives. Diabetes Type 1 and Type 2. Insulin Dynamics. Insulin is all about timing! Rapid acting insulin O P D

Endocrine Disorders. Diabetes Meds Objectives. Diabetes Type 1 and Type 2. Insulin Dynamics. Insulin is all about timing! Rapid acting insulin O P D Endocrine Disorders Diabetes Meds Objectives Explain the action of the various types of insulin currently available Identify the relationship between insulin peak and risk for hypoglycemia Discuss rationale

More information

Medications and Diabetes

Medications and Diabetes monitor track manage A TRUEinsight Guide manage Medications and Diabetes Understanding the Importance of Oral Medications The importance of oral medications Understanding the importance of oral medications

More information

Diabetes Mellitus Type 2 What You Should Know

Diabetes Mellitus Type 2 What You Should Know Please refer to the glossary for a definition of terms. What is Diabetes? Diabetes Mellitus Type 2 What You Should Know Erin K.P. Meyerhoff RN Instructor of Medicine Family Nurse Practitioner Certified

More information

Exenatide (Byetta) for type 2 diabetes

Exenatide (Byetta) for type 2 diabetes Exenatide (Byetta) for type 2 diabetes This Medicine Update is for people who are using, or thinking about using, exenatide. Summary Exenatide is a new injectable medicine that reduces blood glucose levels.

More information

My Diabetes Care Plan

My Diabetes Care Plan My Diabetes Care Plan You may use the charts below to help you better understand your diabetes. Ask your healthcare provider to review your goals and targets with you. Discuss the results and set up an

More information

HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100)

HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) 1 PATIENT INFORMATION HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) WARNINGS Do not share your syringes with other people, even if the needle has been changed. You

More information

There seem to be inconsistencies regarding diabetic management in

There seem to be inconsistencies regarding diabetic management in Society of Ambulatory Anesthesia (SAMBA) Consensus Statement on Perioperative Blood Glucose Management in Diabetic Patients Undergoing Ambulatory Surgery Review of the consensus statement and additional

More information

25 mg QD-TID @ meals w/1st bite of. food, titrate Q 4 8 weeks; adjust based on 1 postprandial glucose; 100 mg TID max

25 mg QD-TID @ meals w/1st bite of. food, titrate Q 4 8 weeks; adjust based on 1 postprandial glucose; 100 mg TID max Table Selected Non-Insulin Antihyperglycemic Agents Class Drug (Brand) Dosing Comments -Glucosidase inhibitors Acarbose a (Precose) 25 mg QD-TID @ meals w/1st bite of MOA: Enzyme inhibitor, delays hydrolysis

More information

Faculty. Program Objectives. Introducing the Problem. Diabetes is a Silent Killer. Minorities at Greater Risk of Having Type 2 Diabetes

Faculty. Program Objectives. Introducing the Problem. Diabetes is a Silent Killer. Minorities at Greater Risk of Having Type 2 Diabetes Diabetes: The Basics Understanding and Managing Diabetes (Part 1 of 3) Satellite Conference Tuesday, October 18, 2005 2:00-4:00 p.m. (Central Time) Produced by the Alabama Department of Public Health Video

More information

Diabetes: In the United States and in Your Dialysis Unit

Diabetes: In the United States and in Your Dialysis Unit Diabetes: In the United States and in Your Dialysis Unit Douglas Shemin, MD Divison of Kidney Diseases and Hypertension Rhode Island Hospital, Alpert Medical School of Brown University Objectives 1. Definition

More information

Britni Hebert, MD PGY-1

Britni Hebert, MD PGY-1 Britni Hebert, MD PGY-1 Importance of Diabetes treatment Types of treatment Comparison of treatment/article Review Summary Example cases 1 out of 13 Americans have diabetes Complications include blindness,

More information

Medication Therapy for Heart Disease. Bhamini Patel, PharmD, BCPS Clinical Pharmacist

Medication Therapy for Heart Disease. Bhamini Patel, PharmD, BCPS Clinical Pharmacist Medication Therapy for Heart Disease Bhamini Patel, PharmD, BCPS Clinical Pharmacist Objectives Review Conditions that affect the Heart High Blood Pressure, Hyperlipidemia and Diabetes Review Medications

More information

Insulin: A Practice Update. Department of Nursing Staff Development Elizabeth Borgelt, MS, RN

Insulin: A Practice Update. Department of Nursing Staff Development Elizabeth Borgelt, MS, RN Insulin: A Practice Update Department of Nursing Staff Development Elizabeth Borgelt, MS, RN Learning Outcome The learner will be able to identify the different types of insulins available, their actions,

More information

Humulin (HU-mu-lin) R

Humulin (HU-mu-lin) R 1 PATIENT INFORMATION Humulin (HU-mu-lin) R Regular U-500 (Concentrated) insulin human injection, USP (rdna origin) Read the Patient Information that comes with Humulin R U-500 before you start taking

More information

Blood Glucose Management

Blood Glucose Management Blood Glucose Management What Influences Blood Sugar Levels? There are three main things that influence your blood sugar: Nutrition Exercise Medication What Influences Blood Sugar Levels? NUTRITION 4 Meal

More information

Diabetes Medications March 12, 2016

Diabetes Medications March 12, 2016 Innovative Approaches to Diabetes Care Diabetes Education Center of the Midlands Diabetes Medications March 12, 2016 Pam Wollenburg, APRN, CDE CHI Health St Elizabeth Diabetes Center Excellence in Diabetes

More information

Approximate Cost Reference List i for Antihyperglycemic Agents

Approximate Cost Reference List i for Antihyperglycemic Agents Alpha Glucosidase Inhibitor Acarbose (Glucobay ) Biguanides Metformin (Glucophage, generic) Metformin ER (Glumetza ) Approximate Cost Reference List i for Antihyperglycemic Agents Incretin Agents - DPP-4

More information

Anti-Diabetic Agents. Chapter. Charles Ruchalski, PharmD, BCPS. Drug Class: Biguanides. Introduction. Metformin

Anti-Diabetic Agents. Chapter. Charles Ruchalski, PharmD, BCPS. Drug Class: Biguanides. Introduction. Metformin Chapter Anti-Diabetic Agents 2 Charles Ruchalski, PharmD, BCPS Drug Class: Biguanides The biguanide metformin is the drug of choice as initial therapy for a newly diagnosed patient with type 2 diabetes

More information

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions

Diabetes Mellitus 1. Chapter 43. Diabetes Mellitus, Self-Assessment Questions Diabetes Mellitus 1 Chapter 43. Diabetes Mellitus, Self-Assessment Questions 1. A 46-year-old man presents for his annual physical. He states that he has been going to the bathroom more frequently than

More information

Hypoglycemia and Diabetes

Hypoglycemia and Diabetes My Doctor Says I Should Avoid Low Blood Glucose Reactions... How Can I Prevent Them? BD Getting Started Hypoglycemia and Diabetes What You Should Know About Low Blood Glucose Reactions If you are taking

More information

Type 1 Diabetes. Pennington Nutrition Series. Overview. About Insulin

Type 1 Diabetes. Pennington Nutrition Series. Overview. About Insulin Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine Pub No. 32 Type 1 Diabetes Overview Type 1 Diabetes (DM) is usually diagnosed in children and young adults.

More information

SUBJECT: DIABETES MEDICATION MANAGEMENT PROTOCOLS

SUBJECT: DIABETES MEDICATION MANAGEMENT PROTOCOLS SUBJECT: DIABETES MEDICATION MANAGEMENT PROTOCOLS PURPOSE To establish a process that will enable Certified Diabetes Educators (CDE) and/or staff with Board Certification in Advanced Diabetes Management

More information

DIABETES MEDICATION INSULIN

DIABETES MEDICATION INSULIN Section Three DIABETES MEDICATION INSULIN This section will tell you: About insulin. How to care and store your insulin. When to take your insulin. Different ways of taking insulin. WHAT IS INSULIN? Insulin

More information

Guidelines for Care of the Hospitalized Patient with Hyperglycemia and Diabetes

Guidelines for Care of the Hospitalized Patient with Hyperglycemia and Diabetes Guidelines for Care of the Hospitalized Patient with Hyperglycemia and Diabetes Kate Crawford, RN, MSN, ANP-C, BC-ADM KEYWORDS Diabetes Hyperglycemia Diabetes medications Insulin Hypoglycemia KEY POINTS

More information

N HUMAN Novo Nordisk Patient Information for Novolin N

N HUMAN Novo Nordisk Patient Information for Novolin N N HUMAN Novo Nordisk Patient Information for Novolin N NOVOLIN N (NO-voe-lin) NPH, Human Insulin Isophane Suspension Injection (recombinant DNA origin) 100 units/ml Important: Know your insulin. Do not

More information

Feeling Better, Living Healthier With Diabetes

Feeling Better, Living Healthier With Diabetes Feeling Better, Living Healthier With Diabetes A guide for self management 761 S. Nelson Ave. Wilmington, Ohio 45177 (937) 382-9307 www.cmhregional.com What is Diabetes? Those who have diabetes are often

More information

N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993

N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993 N E B R A S K A JAIL BULLETIN NUMBER 102 OCTOBER 1993 The Jail Bulletin is a monthly feature of the Crime Commission Update. The Bulletin may be used as a supplement to your jail in-service training program

More information

Insulin Dependent Diabetes Trust

Insulin Dependent Diabetes Trust Insulin Dependent Diabetes Trust Type 2 and You January 2010 Registered Company Number 3148360 Registered Charity No 1058284 We are sending this issue of Type 2 and You out early as it has some useful

More information

Diabetes and Insulin Pumps. Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012

Diabetes and Insulin Pumps. Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Diabetes and Insulin Pumps Amy S. Pullen Pharm.D ISHP Spring Meeting April 2012 Objectives Describe the different types of insulin used in diabetes Identify the types of insulin that are compatible with

More information

Diabetes Mellitus: Pharmacology and Disease Management

Diabetes Mellitus: Pharmacology and Disease Management Diabetes Mellitus: Pharmacology and Disease Management Michael King, MD Assistant Professor Residency Program Director University of Kentucky Dept. of Family & Community Medicine Objectives 1. Compare

More information

Causes, incidence, and risk factors

Causes, incidence, and risk factors Causes, incidence, and risk factors Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both. To understand diabetes,

More information

Saxagliptin (Onglyza) for type 2 diabetes

Saxagliptin (Onglyza) for type 2 diabetes Saxagliptin (Onglyza) for type 2 diabetes This Medicine Update is for people who are taking, or thinking about taking, saxagliptin. Summary Saxagliptin (brand name Onglyza) is a tablet that can be used

More information

Effective pharmacological treatment regimens for diabetes usually require

Effective pharmacological treatment regimens for diabetes usually require Medications Used in Diabetes in Patients Presenting for Anesthesia By Gabrielle O Connor, M.D., M.Sc., CCD, MRCP, FACP Dr. Gabrielle O Connor, a board certified endocrinologist who graduated from University

More information

Discover how to beat Diabetes Report

Discover how to beat Diabetes Report Discover how to beat Diabetes Report 39111 Six Mile Road Suite 160 Livonia, MI 48152 (734) 769-1650 www.iwcenters.com www.iwcenters.com Discover How You Can Improve Your Integrative Wellness Centers Diabetes

More information

Diabetes Medications. Minal Patel, PharmD, BCPS

Diabetes Medications. Minal Patel, PharmD, BCPS Diabetes Medications Minal Patel, PharmD, BCPS Objectives Examine advantages and disadvantages of oral anti-hyperglycemic medications Describe the differences between different classes of insulin Explore

More information

Insulin and Diabetes

Insulin and Diabetes Insulin What is Insulin? Insulin is a hormone produced by special cells in the pancreas These cells that are produced are called beta cells Insulin allows the glucose from food we eat to enter the cells

More information

Vildagliptin (Galvus) for type 2 diabetes

Vildagliptin (Galvus) for type 2 diabetes Vildagliptin (Galvus) for type 2 diabetes This Medicine Update is for people who are taking, or thinking about taking, vildagliptin. Summary Vildagliptin (brand name Galvus) is a new medicine. It is a

More information

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage.

Department Of Biochemistry. Subject: Diabetes Mellitus. Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Department Of Biochemistry Subject: Diabetes Mellitus Supervisor: Dr.Hazim Allawi & Dr.Omar Akram Prepared by : Shahad Ismael. 2 nd stage. Diabetes mellitus : Type 1 & Type 2 What is diabestes mellitus?

More information

The Family Library. Understanding Diabetes

The Family Library. Understanding Diabetes The Family Library Understanding Diabetes What is Diabetes? Diabetes is caused when the body has a problem in making or using insulin. Insulin is a hormone secreted by the pancreas and is needed for the

More information

Insulin T Y P E 1 T Y P E 2

Insulin T Y P E 1 T Y P E 2 T Y P E 1 T Y P E 2 INSULIN There are many different insulins for many different situations and lifestyles. This section should help you and your doctor decide which insulin or insulins are best for you.

More information

THE INS AND OUTS OF INSULIN. Mary Beth Wald, RN,BSN,CDE

THE INS AND OUTS OF INSULIN. Mary Beth Wald, RN,BSN,CDE THE INS AND OUTS OF INSULIN Mary Beth Wald, RN,BSN,CDE WHAT HAPPENS IN MY BODY? When we eat, the food gets changed into glucose, a type of sugar. Glucose travels in the blood to all the cells in your body

More information

Diabetes: When To Treat With Insulin and Treatment Goals

Diabetes: When To Treat With Insulin and Treatment Goals Diabetes: When To Treat With Insulin and Treatment Goals Lanita. S. White, Pharm.D. Director, UAMS 12 th Street Health and Wellness Center Assistant Professor of Pharmacy Practice, UAMS College of Pharmacy

More information

Diabetes Mellitus: Type 1

Diabetes Mellitus: Type 1 Diabetes Mellitus: Type 1 What is type 1 diabetes mellitus? Type 1 diabetes is a disorder that happens when your body produces little or no insulin. The lack of insulin causes the level of sugar in your

More information