Diabetes Medications

#diabetes #diabetic #hyperglycemia

[StrongMed]

In the video, I mention that the algorithm presented is "generally" consistent with ADA and AACE guidelines. In short, the video algorithm recommends that lifestyle modifications can be initially tried alone for motivated patients whose A1c<7.5%; while ADA/AACE guidelines recommend anyone diagnosed with type 2 diabetes, no matter how near-normal their A1c is, should be placed on metformin. In other words, the implication is that there should be no such thing as "diet controlled diabetes". Other recommendations may use A1c cutoffs of 7.0%. Given that motivated individuals with newly diagnosed type 2 diabetes can bring down their A1c 1.0-2.0% with lifestyle modifications alone, and because I personally trend my practice towards keeping patient pill burden on the lower end, I don't personally recommend starting metformin at A1c levels < 7.5% *IF* the patient is motivated and otherwise able to enact major dietary changes. The argument against this (i.e. the argument to start every patient with type 2 diabetes on metformin) is that it's cheap and very safe, and that attempts to use lifestyle modifications alone is not successful for most patients. But I'm not convinced there is any benefit (EDIT: patient-centered benefit) to using metformin for those patients whose A1c could otherwise be successfully brought to their target A1c with diet/weight loss alone.

[shabnamkarimi]

Thank you for the great videos Dr. Strong! I listened to your videos throughout med school. And now as I study for my board exams.

[SvcGlobal]

Outstanding valued information about medicines to keep diabetes under control. Thank you very much!

[docsanti]

The best review I´ve ever watched. Thanks a lot Doctor!

[cornelbacauanu]

Essential information for anyone taking care of DMT2 patients. Thank you.

[hemas]

Very precise and informative specially when to use which drug and the combination of drugs explained clearly. Thank you so much

[sunving]

Thank you very much Doctor Eric Strong, this is my third time, watching this video, and I seem to grasp thing I didn’t before. I did not watch medical video to take any particular examination, but I found, that yours are the BEST in practical medicine, which I would never get if only I just read from textbook, or manual. I thank you for taking time to teach us, Doctors around the world. I would like to wish you and your family a very very Merry Christmas and a Happy New Year ! I have been listening your lectures for a little over the year, how time fly. :)

[abdullahsaleh]

Dr Stronng ; Thaaaanks for you from Saui Arabia 🤚🏻 I am following your channel with great intrest ... I cnseder you my best teacher 👌🌺🌹

[hanzkeithjudejintalan]

Very informative! I learn alot for my exam tomorrow. Thank you Dr.

[dailydoseofmedicinee]

Diabetes medications and insulin therapy
:
Metformin (Glucophage, Glumetza, others). Generally, metformin is the first medication prescribed for type 2 diabetes.
Sulfonylureas.
Meglitinides.
Thiazolidinediones.
DPP-4 inhibitors.
GLP-1 receptor agonists.
SGLT2 inhibitors.
Insulin.

[ΆγιοςΧίλαριος]

I came across some studies recommending SGLT2 inhibitors for isolated heart failure with reduced EF.. I want to ask about the risk of hypoglycaemia associated with this group of meds. Another question is about the physiology theoretically it doesn't make much sense to me that they lower blood glucose (maybe I'm not good enough in renal physiology ) : if Na and glucose were excreted in the proximal tubules wouldn't this osmotically lead to increased water excretion (acting like a diuretic ) and glucose wouldn't be much lowered in most cases or even increases (both glc and water are excreted) ? And what would be the effect on renin angiotensin aldosterone system since we are talking about heart failure ?

[sidadk]

Can a pt having hypothyroidism take metformin?

[paulahernandez]

Thank you Dr. I take glimeride and I need a second med to lower my sugar I’m allergic to medformin. And I tried Jardiance but I fell the lack of oxygen so I guess I’m alérgic to that too what else do you recommend to take that are not the same as the meds mentioned. What would you give me so I can talk to my doctor

[MaggieTlou]

Hi I need help I don't know what type of my sugar diabetes

[Owmed]

Amazing, as always! Im always excited when I see a new lecture posted, since i've devoured most of your videos already! Hahaha, if only med teachers were as didatic and interesting as you!

[keith]

thanks a lot PROF, greetings from Italy

[soaring]

It should be noted that SGLT2 are not allowed for pilots going for a new Medical license. Example Invokana is one.

[michaelschachter]

Great review! In the algorithm you mention GLP1 should be used as add on to metformin in CAD. I was under the impression that these medications have indications for CHF. Is there also CAD data?

[Luiz-wwyt]

Hello dr strong. Is there any prediction of when will the insulin video be released? Thanks in advance and sorry for my bad english.

[Jacqueline_R]

Thank you!! Sharing with a family member:)