Marinduque Mainland from Tres Reyes Islands

Marinduque Mainland from Tres Reyes Islands
View of Marinduque Mainland from Tres Reyes Islands-Click on photo to link to Chateau Du Mer

WELCOME TO MY SITE AND HAVE A GOOD DAY

If this is your first time in this site, welcome. It has been my dream that my province, Marinduque, Philippines becomes a world tourist destination not only during Easter Week but also whole year round. You can help me achieve my dream by telling your friends about this site. The photo above is your own private beach at The Chateau Du Mer Beach Resort. The sand is not as white as Boracay, but it is only a few steps from your front yard and away from the mayhem and crowds of Boracay. Please do not forget to read the latest national, international, and technology news in this site . I have posted some of my favorite Filipino and American dishes and recipes on this site also. Some of the photos and videos on this site, I do not own. However, I have no intention on infringement of your copyrights. Cheers!

Sunday, August 22, 2010

List of Type 2 Diabetes Drugs-Old and New


My wife and I are type 2 Diabetic. Having work for new drugs development at FDA for a number of years, my interest in drugs has not diminished even though I have been retired from FDA since 2002. The following article is a reference for new, and old diabetic drugs for Type 2.

It was compiled by Debra Manzella, R.N., former About.com Guide and updated May 2, 2010.
If you are a type 2 Diabetic, this is a must read article for you.

"It's been an exciting time for diabetes treatment - in the past year or so, several brand new medications have been approved to treat type 2 diabetes. These are not just new meds, they're completely new categories of drugs. What does that mean? These new medications work in completely different ways than the standard medications.

But does that mean that science is giving up on the old stand-by drugs? No, it doesn't. The oldies-but-goodies still do a good job, and coupled with the new kids on the block, blood glucose levels can stay even closer to normal and tighter control may be easier to maintain.

New Classifications and Medicines


DPP-4 Inhibitors: These drugs block an enzyme (DPP-4) that normally deactivates a protein (GLP-1) that keeps insulin circulating in the blood. Slowing the deactivation process helps reduce sugar production, lowering blood glucose levels.

* Januvia (sitagliptin phosphate): The first of the DPP-4 inhibitors to be approved by the Food and Drug Administration. Januvia is an oral medication which is taken once a day, either alone with diet and exercise, or in combination with other oral diabetes medications.

Incretin Mimetics: These mimic the action of incretin hormones which help the body make more insulin. They also slow the rate of digestion so that glucose enters the blood more slowly. People on incretin mimetics feel full longer, which reduces food intake, which helps some people lose weight while on the medication.

* Byetta (exenatide): Byetta is an injectable medication that is used in combination with other oral diabetes medications. It is not an insulin and it does not take the place of insulin. It is used for type 2 diabetes only and cannot be given with insulin. Byetta comes in a pre-filled injector pen. The dose is 5 mcg. to start, twice a day within 60 minutes prior to your morning and evening meals. Your doctor may increase the dose to 10 mcg. based on your results.

Antihyperglycemic Synthetic Analogs: These are medications that are created as synthetic versions of human substances, in this case a human hormone called amylin, which is used by the pancreas to lower blood glucose levels.

* Symlin (pramlintide acetate): Symlin is an injectable medication which is used with insulin for tighter blood glucose control. Symlin can increase the risk of severe hypoglycemia, therefore patients who are put on Symlin are selected carefully and monitored closely by their healthcare providers.

Older Classifications and Medicines

Sulfonylureas: These medications are the oldest of the oral diabetes drugs, and until 1995 they were the only drugs available for managing type 2 diabetes. Sulfonylureas stimulate the pancreas to release more insulin into the blood stream. Hypoglycemia can be a side effect of these drugs. Sulfonylureas can also sometimes stop working after a few years.

There are several "generations" of this classification of medicines. Second and third generations are more widely prescribed today.

* First generation: Orinase, Tolinase and Diabinese
* Second generation: Glucotrol (glipizide), Glucotrol XL (extended-release glipizide), Micronase or Diabeta (glyburide)
* Third generation: Amaryl (glimepiride)

Biguanides: These lower the production of glucose that is made in the liver. It also makes the body more sensitive to insulin. Cholesterol levels may be lowered as well.

* Glucophage, Glucophage XR (metformin): There is very little risk of hypoglycemia when metformin is used alone. Lactic acidosis can be a rare but serious side effect.

Alpha-Glucosidase Inhibitors: These delay the conversion of carbohydrates into glucose during digestion. This prevents blood glucose levels from peaking too high.

* Precose (acarbose)
* Glyset (miglitol)

Thiazolidinediones: Sensitizes muscle and fat cells to accept insulin more easily.

* Avandia (rosiglitazone)
* Actos (pioglitazone)

As of May 21, 2007, the FDA has issued a safety alert regarding the possibility of heart attacks or other fatal cardiovascular events when taking Avandia. Please call your physician to discuss alternative medications for managing your diabetes.

* Avandia May Cause Risk of Heart Attack and Death
* Avandia Linked to Increased Heart Attacks

Meglitinides: These stimulate insulin production when there is glucose present in the blood. If blood sugar is low, the drug does not work as well.

* Prandin (repaglinide)
* Starlix (nateglitinide)

If you are not a chemist( I am a chemist), the above names of drugs are hard to pronounce and spell, but I hope after reading this article, you did learn a little knowledge how these drugs regulate blood sugar in your body.

Also remember drugs is not everything! Watch out for your diet, exercise a little bit and avoid stress if you want to live longer in spite of your diabetes.

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