Brand/Generic | MOA | Goals | Medication Classes | Things to Consider |
---|---|---|---|---|
What is metformin?
Glucophage
|
What are SGLT-2 inhibitors?
Inhibiting this reduces reabsorption of filtered glucose from the tubular lumen. This decreases the reabsorption of filtered glucose, lowers renal glucose threshold, and increases urinary excretion of glucose
|
What is an A1c >6.5%?
A1c diabetes diagnosis
|
What are sulfonylureas?
Glipizide
Glyburide Glimepiride |
What are SGLT-2 inhibitors?
Caution using this class in patients with chronic genitourinary infections
|
What is Glucotrol?
Glipizide
|
What are sulfonylureas?
Stimulates insulin secretion from beta-cells by binding to adenosine triphosphate-dependent potassium channel receptors, regardless of glucose concentrations
|
What is an A1c <7%?
Goal A1c for many non-pregnant adults
|
What are DPP4 inhibitors?
Sitagliptin
Saxagliptin Linagliptin Aloogliptin |
What are glyburide and glimepiride?
These two sulfonylureas are listed on the 2019 Beer's Criteria
|
What is Jardiance?
Empagliflozin
|
What are TZDs?
Peroxisome proliferator-activated receptor gamma agonists; increases insulin sensitivity and decreases hepatic glucose production
|
What is FBG >126 mg/dL?
FBG diabetes diagnosis
|
What are GLP-1 agonists?
Exenatide
Liraglutide Semaglutide Dulaglutide Albiglutide Lixisenatide |
What are GLP-1 agonists?
This class has a BBW for risk of thyroid C-cell tumors
|
What is dulaglutide?
Trulicity
|
What is metformin?
Primarily inhibits hepatic glucose production
|
What is an A1c 5.7% to 6.4%?
A1c pre-diabetes diagnosis
|
What are SGLT2 inhibitors?
Jardiance
Invokana Farxiga |
What are TZDs?
This class of medications is contraindicated in NYHA Class III and IV heart failure
|
What is Actos?
Pioglitazone
|
What are DPP-4 inhibitors?
This class inhibits an enzyme from breaking down GLP-1
|
What is BG 80-130 mg/dL?
FBG or pre-prandial BG goal per ADA guidelines
|
What are meglitinides?
Repaglinide
Nateglinide |
Insulin
This class provides the highest efficacy in BG lowering
|