Anti Diabetics – Diabetics Symptoms Treatment Drug Dosage

Anti Diabetics Symptoms Epidemiology Treatment Drug Dosage

Diabetes mellitus, often simply referred to as diabetes—is a condition in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. Diabetes mellitus is characterized by chronic hyperglycemia glycosuria, hyperlipemia, negative nitrogen balance and sometimes ketonemia with disturbances of carbohydrate, fat, and protein metabolism resulting from defects in insulin secretion, insulin action, or both.

This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).

There are three main types of diabetes:

Type 1 diabetes: results from the body’s failure to produce insulin, and presently requires the person to inject insulin.
Type 2 diabetes: results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency.
Gestational diabetes: is when pregnant women, who have never had diabetes before, have a high blood glucose level during pregnancy.

Diagnosis

Diagnosis of Diabetics Symptoms Epidemiology Treatment Drug Dosage.png

EPIDIMEOLOGY:

There is an increase in the prevalence of type 1diabetes also, but main cause of diabetic epidemic is type2 diabetes mellitus, which accounts for more than 90 percent of all diabetes cases. According to World Health Organization (WHO) reports, India had 32 million diabetic people in the year 2001. The International Diabetes Federation (IDF) estimates the total number of diabetic subjects to be around 40.9 million in India and this is further set to rise to 69.9 million by the year 2025. The majority of cases of diabetes fall into two broad etiopathogenetic categories now called type 1 and T2 DM. The etiologic classification of diabetes mellitus currently recommended by WHO and the ADA in 1997.

ORAL HYPOGYCEMIC DRUGS

 Biguanide Metformin

 Sulfonylureas Glimepiride,gliclazide,glipizide,glyburide,glibenclamide

 Meglitinides Repaglinide,nateglinide

 Gliptins (DPP-4 inhibitors) Sitagliptin,vildagliptin,saxagliptin,alogliptin,linagliptin

 Thiazolidinediones (PPAR-γ agonists) Pioglitazone,rosiglitazone

Anti Diabetics Symptoms Epidemiology Treatment Drug Dosage

 α-Glucosidase inhibitors Acarbose,miglitol,voglibose

 Dopamine D2-receptor agonists Bromocriptine

SUBCUTANEOUS INJECTION

 Insulin Rapid, short, intermediate, and long-acting formulations.

 Newer insulins Insulin detemir, insulin glulisine, insulin degludec

 GLP-1 agonists Exenatide, liraglutide,albiglutide,lixisenatide,taspoglutide

 Amylin analogue Pramlintide

RECENT DRUGS

Sodium–glucose-cotransporter-2 (SGL2) inhibitors

Dapagliflozin, canagliflozin, ASP1941, LX4211, and BI10773

11β-hydroxysteroid-dehydrogenase-1 inhibitors

INCB13739 (200 mg) DUAL PPAR (γ +α) AGONIST

Aleglitazar Glucokinase activator Piragliatin, compound 14,

R1511, AZD1656, AZD6370, compound 6 Bile acid sequestrants Colesevelam

Anti-CD3 monoclonal antibody Otelixizumab, teplizumab Cannabinoid receptor-1 antagonists

Rimonabant Histamine H3 receptor agonist Proxyfan

Glucagon receptor antagonists Compound 1 (cpd 1)

Atherogenics antioxidant/vascular cell adhesion molecule-1

Succinobucol/AGI 1067

Recombinant human glutamic acid decarboxylase-65 (rhgad65) Vaccine, induces immunotolerization IL-1 antagonist

Anakinra Insulin action enhancers

Gip antagonists Sirtuins

Adipose tissue signals