Diabetes Drugs. Important because. Diabetes is a common problem throughout whole medical career. 10% Patients+ in hospital are Diabetics. All the drugs can Interact, lack of Insulin = death. Intermediates…. Treatment…. What are the 3 categories of treatment that we need to think about?
Rapid acting and long acting. Can be 1x/2x/3x per day. Both types in one injection
Long/Intermediate acting. Covers all day, need to be wary of skipping meals etc…
Subcutaneous injection: either with ‘pens’ or pumps
What are 2 important complications that can occur without Insulin?
-Hyperglycaemia causing raised HBA1C leading to long term complications…. (nephropathy/retinopathy/neuropathy etc …)
If DKA occurs, what else needs to be given to patient and why?
Potassium – Insulin drives K into cells, and so hypokalaemia can occur.
What are 3 ECG signs that might indicate Hypokalaemia?
Alpha Glucosidase inhibitors
Post Prandial Glucose regulators
Alpha Glucosidase blocker