Medical Surgical Nursing

(Tina Sui) #1

  • Biguanides: Metformin

  • a-Glucosidase inhibitors: Acarbose. Delay absorption of CHO

  • Thiazolidinediones: Pioglitazone (Actos)


Other drugs affecting blood glucose levels:



  • Adrenergic blockers

  • Adrenaline

  • Corticosteoids


Diabetes Mellitus Pancreas Transplantation


Used for patients with type 1 diabetes who have end-stage renal disease and who have


had or plan to have a kidney transplant



  • Eliminates the need for exogenous insulin

  • Can also eliminate hypoglycemia and hyperglycemia


Diabetes Mellitus New Developments in Diabetic Therapy



  • New insulin delivery systems not yet approved by the FDA:

  • Inhaled insulin

  • Skin patch

  • Oral spray


Diabetes Mellitus Patient education



  1. Simple pathophysiology



  • Basic definition of diabetes (having a high blood glucose level)

  • Normal blood glucose ranges

  • Effect of insulin and exercise (decrease glucose)

  • Effect of food and stress, including illness and infections (increase glucose)

  • Basic treatment approaches



  1. Treatment modalities



  • Administration of medications

  • Meal planning (food groups, timing of meals)

Free download pdf