k6 CREN > DM-2 > Flashcards

DM-2 Flashcards

(12 cards)

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1
Q

behandlingsmål

A

levnadsvanor

glukos

  • yngre: Hba1c 42-52
  • äldre: 53-69

BT: < 140/85

lipider: utifrån risk

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2
Q

metformin

A

förstahandsval, påbörja genast i dos 500 mg x1 –> upptrappar med mål 1000 mg x 2

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3
Q

Ki

A

GFR < 30 (halvera dos om GFR < 45)

leversvikt

hjärtsvikt

alkolism

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4
Q

risk

A

GI biverkningar

laktacidos

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5
Q

ex på SU

A

glipizid

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6
Q

mekanism SU

A

ökar insulinfrisättning

- risk för hypoglycemia, viiktuppgång

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7
Q

vilka LM har effekt på CVD-risk?

A

metformin
GLP-1
SGLT-2

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8
Q

DDP-4 hämmare exempel på LM

A

sitagliptin (Januvia)

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9
Q

effekten av DDP-4

A

stärker inkretinerna

  • viktneutral
  • po
  • liten risk för hypoglykemi
  • biverkningsfri

MEN inget skydd på CVD-risk

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10
Q

GLP-1 exempel på LM

A

liraglutid (Viztoca)

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11
Q

exempel SGLT-2 hämmare

A

empagliflozin = jardiance

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12
Q

empagliflozin + metformin

A

synjardy

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