00:01
So, let's wrap up these diabetic medications.
00:05
Sulfonylureas and glinides encourage the beta
cells in the pancreas to secrete insulin.
00:11
That's what gives us the effect
we want; the lower blood sugar.
00:14
However, anything a drug
does well, it can do overwell,
so these drugs have a risk for hypoglycemia.
00:22
Make sure you remember that point
and educate your patients.
00:26
Now, the biguanides, which are like
metformin, the alpha-glucosidase inhibitors,
the DPP-4 inhibitors, and the SGLT-2 inhibitors
help control the rise in glucose after a meal.
00:39
So, look at the difference of that.
00:41
That's why we have less of a risk of hypoglycemia.
00:45
So group those medications
together in your notes.
00:48
Remember, we have much less
of a risk of hypoglycemia,
but a big risk of hypoglycemia with
sulfonylureas and the glinides.
00:56
Now, metformin is usually the
drug of choice or medication
when initiating therapy for type 2 diabetics.
01:03
We've even started to use
it in pre-diabetic clients.
01:06
We can use metformin alone, or in
combination with other medications.
01:11
Thank you for watching our video today.