Clinical Approach to Medical Management of Type 2 Diabetes

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Pramlintide • Synthetic analogue of amylin witch is synthesized by beta-cells and released with insulin • Mechanism of action: decreases glucagon release, slows gastric emptying, and decreases food intake • Approved for use in patients who are taking mealtime insulin alone or in combination with MF and/or SU • Dose (DM2): Initiate at 60 mcg before meals and increase to 120 mcg if tolerated • Main SE: nausea and hypoglycemia (reduce mealtime dose by 50% when initiating PRA)
• N=656 • DM2 for ~12 yrs • BMI ~ 34 • Baseline A1c 9.0-9.3% N=161 N=171 N=166 Hollander et al, Diabetes Care, 2003
Page 1 and 2: Clinical Approach to Medical Manage
Page 3 and 4: Outline: 1. Glycemic Targets in Typ
Page 5 and 6: Glycemic Goals of Therapy in Outpat
Page 7 and 8: Adjusted Hazard Ratio for Clinical
Page 9 and 10: Benefit assessment of long-term blo
Page 11 and 12: Outline: 1. Glycemic Targets in Typ
Page 13 and 14: Type 2 DM Treatment - Practical Tip
Page 15 and 16: The Biguanides: Basic Characteristi
Page 17 and 18: 10-Year Follow-up of Intensive cont
Page 19 and 20: Metformin: Old Drug, New Targets Li
Page 21 and 22: Secretagogues: Sulfonylureas and th
Page 23 and 24: Secretagogues: Sulfonylureas and th
Page 25 and 26: Sulfonylurea Versus Newer Agents: G
Page 27 and 28: Basic Characteristics of Glitazones
Page 29 and 30: Pioglitazone • Is not associated
Page 31 and 32: The α-Glucosidase Inhibitors: Basi
Page 33 and 34: Types of Insulins • Basal insulin
Page 35 and 36: Prandial Versus Basal Insulin: The
Page 37 and 38: Insulin Initiation and Titration
Page 39 and 40: Colesevelam vs. Placebo in combinat
Page 41: Cycloset Safety Trial HR Bromocript
Page 45 and 46: So, we have 11 different classes of
Page 47 and 48: Comparative Effectiveness and Safet
Page 49 and 50: Pooled between-group differences in
Page 51 and 52: Effect of Antihyperglycemic Agents
Page 53 and 54: Yearly Cost for Different Antihyper
Page 55 and 56: 2012 Position Statement of the ADA
Page 57: Thank You !

Clinical Approach to Medical Management of Type 2 Diabetes

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