Oral Antidiabetics Are Safe In Pregnancy

Oral Antidiabetics Are Safe In Pregnancy
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Oral Antidiabetics Are Safe In Pregnancy
Question 1
I would like to know more about the use of the glitazone group in type 2
diabetes: its action, side-effects, precautions taken on using them.
Question 18
In a patient receiving oral antidiabetics, should the drug be administered
just after taking the blood sample for fasting blood glucose level (and
before a meal), or just prior to the sample being taken?
Question 19
What oral antidiabetics are safe in pregnancy?
Question 20
Is it necessary to put all type 2 diabetics on aspirin?
Question 21
In the chapter on diabetes you wrote that you should avoid tablets
before age of 40 years in non-insulin-dependent diabetes mellitus
(NIDDM). Why is this, because in our country most doctors are
prescribing this?
Question 22
Oral Antidiabetics Are Safe In Pregnancy
1. Should a patient poorly controlled on glibenclamide 15 mg a day and
metformin 1500 mg a day be moved onto insulin?
2. What are the indications for insulin in type 2 diabetics?
Question 23
What happens to the insulin-secreting capacity of a type 2 diabetic
placed on insulin therapy earlier than recommended? Can the external
supply of insulin improve the functional capacity of the insulin-secreting
cells, to some extent by providing some rest to these cells?
Question 24
1. Is inhaled insulin a suitable substitute for injectable insulin?
2. Is there, or will there soon be, insulin in the form of a tablet?
Question 25
What are the complications of insulin other than hypoglycaemia and
injection?
Question 26
I would like to know the processes that go into administering the
Alberti’s/modified Alberti’s regime in patients with uncontrolled
diabetes mellitus.
Diabetes mellitus and other disorders of metabolism 19
201
Question 27
Is there any role for steroids in the management of resistant diabetes
mellitus (daily insulin requirement exceeding 100 units/day)? Don’t they
make glycaemic control worse?
Question 28
Oral Antidiabetics Are Safe In Pregnancy
What is the importance of potassium chloride (KCl) in the treatment of a
diabetic patient (pre-operative care)? The formula in the text is explained
as 16 U of insulin 10 mmol of KCl 500 mL 10% glucose.
Question 29
What is the cut-off point of daily albumin excretion above which a
diabetic patient without hypertension should be given an angiotensinconverting enzyme (ACE) inhibitor?
Question 30
What is the urinary concentration or 24-hour urine albumin content above
which angiotensin-converting enzyme (ACE) inhibitors should be started
in diabetic patients? Does an albumin (in microgram)/creatinine (in
milligrams) ratio above 30 in the morning sample indicate a need for this?
Question 31
Do potassium channel activators such as nicorandil have any benefit in
the treatment of a diabetic patient with cardiovascular complications?
Question 32
Is a dosage of 2.5 mg/day of methyltestosterone, as a component in
some multivitamin formulae, safe to give to diabetics or will it make the
diabetes more difficult to control (see also Chapter 5, question 5)?
Question 33
How does diabetes mellitus cause atherosclerosis?
Question 34
How does diabetes cause renal damage, especially diabetic nephropathy
with the presence of microalbuminuria?
Question 35
Type 1 diabetes causes nephropathy in 40% of cases and type 2 causes it
in 20% of cases but the most common cause of nephropathy we see is
type 2, why?
Question 36
Why is intractable vomiting seen in diabetes mellitus and how can it be
managed?
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