Which antidiabetic agent
members prefer in a middle aged woman with FBS of 140and PPBS of 280 mg % with
normal creatinine , Lipid , LFT , normal BP & normal eye sight (retinal evaluation done) if
a diabetologists is unavailable at your town?? With which OSA(Oral anti diabetic
agent) you are comfortable in prescribing??
List of oral antidiabetic:
A) sulphonylureas(
Amides) : like a) Glibenclamide ( glyburide). b ) gliclazide
c) Glimepiride d) glipizide e) tolbutamide. All are amides and may be combined
with metformin which do not however fall in amides but in biguanide group.
Class B) Biguanides :
metformin HCL
Class C: oral antidiabetic:
Alpha glucose inhibitors: like acrabose ,voglibose alone
Class D: Glucagon like peptide 1
Receptor Agonists: Exenatide .
Class E: DPP4 Inhibitors (
dipeptidyl peptidase 4 inhibitors) like linagliptin,Saxagliptins Sitaliptins, Vidaliptins . All are amides and
may be combined with metformin which do not however fall in amides but in biguanide group.
Class F : Thiazolidine diones (
Pioglitazones) All are amides and may be combined with metformin which do not however
fall in amides but in biguanide group.
Class G: other less commonly used amides .
Class H. Misc Chromium donator, Guar gum.
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