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8/2/2019 Diabetes and Drug Therapy
http://slidepdf.com/reader/full/diabetes-and-drug-therapy 1/28
Drza tljrf~s c`
Dcfojtj
8/2/2019 Diabetes and Drug Therapy
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Dkq`mkfd tlc ~rjj`tftck` gkr
G_JJ ft9
qqq.J|fewcmmj.bke
8/2/2019 Diabetes and Drug Therapy
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Dcfa`kc kg Dcfojtj
Gftc`a _f`dke KATT,?l#
@krefm =7 =1.<
Ce~fcr 7.6 ‒ 1 1.<% 66.6
Dcfojtj 01 066.6 (se~tke
066.6
8/2/2019 Diabetes and Drug Therapy
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Fce kg ef`fajej`t
Tk fblcjwj `jfr `krefm amsbfjecf
% Rlkrt tjre% tk ~rjwj`t se~tke kg ls~jr 'ls~k
% Mk`a tjre% tk ~rjwj`t bke~mcbftck`
Akkd vzfmcts kg mcgj- `jfr `krefm mcgj j|~jbtf`bs
8/2/2019 Diabetes and Drug Therapy
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Tfrajt gkr `k`%~rja`f`t ~ftcj`t
LoF6b % @CBJ 7.:%1.:*
% FDF =1*
% CDG =7.:* O^ % =62>+<>
Blkmjtjrkm% MDM =?.7 ,eE#
LDM 06.6 TA =6.1
8/2/2019 Diabetes and Drug Therapy
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Ts~j kg C`zmc`
Rlkrt fbtc`a % Rkmzomj + @jztrfm c`zmc`C`zmc` f~frt
C`zmc` mc~rk
C`tjrejdcftj fbtc`a % Ck~lf`j
Mk`a fbtc`a % C`zmc` Yc`b z~j`ck`
`jq c`zmc` f`fmkazj % Amfrac`j
Djtjecr
Oc~lfcb% ec|tzrj kg lkrt f`d c`tjrejdcftjOc~lfcb mc~rk
Oc~lfcb Ck~lf`j
8/2/2019 Diabetes and Drug Therapy
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Ts~j kg C`zmc`
C`zmc` Mc~rk F~frt
@jztrfm+ rjazmfr
Ck~lf`j zmtrftfrd Amfrac`j
K`jt 6>%?>‿ 2>‿ 6l 4l ?%4l
^jfh 6l 6%2l 4%7l 7%6<l ~jfh mj
Dzrftck` 2%:l 4%<l <%64l ?4l ?>%?4l
8/2/2019 Diabetes and Drug Therapy
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Rkmzomj c`zmc` + `jztrfm +bmjfr
@fej % Lzef` fbtrf~cd+ Lzezmc` R
R~jbcj% Okwc`j- ~krbc`j- lzef`
Gkmmkqc`a +b c`ijbtck`
K`jt kg fbtck` ‒ 2> ec`^jfh% 6%2 lkzr
Dzrftck`% 4%< lkzr
K`ms c`zmc` zctfomj gkr c`trfwj`kz rkztj ‒
~mfef lfmg mcgj = : ec`- rjvzcrjd bk`tc`zkz c`gzck`
Zjd c` dcfojtj Hjtkfbcdkc
8/2/2019 Diabetes and Drug Therapy
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Rctj kg c`ijbtck` % Rzobztf`jkz
Tlcal
Z~~jr ozttkbh
Fodkej` Fre
Ce~krtf`t tk rktftj tlj ctj
_ftj kg fokr~tck` efs oj ca`cgcbf`tms dcggjrj`t ‒ gftjr grke fre f`d fodkej` tlf` grke tlcalf`d ozttkbh
8/2/2019 Diabetes and Drug Therapy
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_kztj kg Fdec`ctrftck`
Rzobztf`jkz gkr mk`a tjre rjazmfr zj
C`trfwj`kz c`gzck` c` fbztj bk`dctck`% dcfojtj
Hjtkfbcdkc- ^jrck~jrftcwj ~jrckd- Ls~jrkekmfr
@k`hjtktcb tftj K@MS @JZT_FM+ BMJF_ C@RZMC@ BF@ OJ ZRJD
Bk`tc`zkz zobztf`jkz c`zmc` c`gzck` wcf
~ze~ ‒ `jztrfm
C`trf~jrctk`jfm ‒ ^jrctk`jfm dcfmsc ~ftcj`t
C`lfmjd c`zmc`% j|~jrcej`tfm
8/2/2019 Diabetes and Drug Therapy
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Z`tkqfrd jggjbt kg c`zmc`
Ls~kamsbfjecf
Qjcalt afc`% f`fokmcb lkrek`j
Mc~kls~jrtrk~ls% c`ijbtck` tk fej ctj
C`zmc` jdjef
Trf`cj`t djtjrckrftck` c` rjtc`k~ftls
C`zmc` `jzrctc ‒ fbtcwjms rjaj`jrftc`a `jzrk`j-z`bkeek`
^ktzrfm ls~ktj`ck`
8/2/2019 Diabetes and Drug Therapy
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J|fe~mj
c`ijbtck`
Rlkrt fbtc`a Rlkrt fbtc`a Rlkrt fbtc`a C`tjrejdcftj+mk`a fbtc`a
orjfhgft mz`bl dc``jr
orjfhgft mz`bl dc``jr ojdtcej
ojdtcejc`ijbtck`
Oc~lfcb c`zmc` Oc~lfcb c`zmc`
8/2/2019 Diabetes and Drug Therapy
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_jbzrrj`t Ls~k
_jvzcrjd dkj fdiztej`t _calt c`zmc`+ c`ijbtck` tjbl`cvzj
Ejfm+ gftc`a rjmftjd
C`ijbtck` ctj J|jrbcj
Z`j|~mfc`jd % ;fztk`kecb `jzrk~ftls
8/2/2019 Diabetes and Drug Therapy
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Rcbh dfs rzmj
`jwjr tk~ c`zmc`
ek`ctkr ekrj grjvzj`tms
efc`tfc` skzr lsdrftck` Bljbh gkr hjtk`j
H`kq qlj` ' lkq tk bfmm gkr ljm~
8/2/2019 Diabetes and Drug Therapy
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Krfm Ejdcbftck` tk
Trjft Ts~j ? Dcfojtj
8/2/2019 Diabetes and Drug Therapy
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Efikr Bmfj kg Ejdcbftck`
j`ctcyj tlj okdstk c`zmc` (+%bk`trkm lj~ftcbamzbkj ~rkdzbtck`
tcezmftj tlj ~f`brjf tk efhjekrj c`zmc`
mkq tljfokr~tck` kg tfrblj
Tlcfykmcdc`jdck`j
Ocazf`cdj
Rzmgk`smzrjf
Ejamctc`cdj
Fm~lf%amzbkcdfj
c`lcoctkr
8/2/2019 Diabetes and Drug Therapy
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Tlcfykmcdc`jdck`j
→ c`zmc` rjctf`bj os efhc`a ezbmj f`d fdc~kj bjmm ekrj j`ctcwj tk
c`zmc`. Tljs fmk z~~rj lj~ftcb amzbkj ~rkdzbtck`. Jggcbfbs
→ gftc`a ~mfef amzbkj p6.3%?.? eekm+M
_jdzbj F6B p>.:%6.>*
7 qjjh gkr ef|ceze jggjbt Ktljr Jggjbt
Qjcalt afc`- kjdjef
Ls~kamsbjecf ,cg tfhj` qctl c`zmc` kr faj`t tlft tcezmftj c`zmc`rjmjfj#
Bk`trfc`dcbftjd c` ~ftcj`t qctl fo`krefm MGT kr BLG Ce~rkwj LDM blkmjtjrkm f`d ~mfef trcamsbjrcdj8 zzfmms MDM
`jztrfm
Ejdcbftck` c` tlc Bmf9 ~ckamctfyk`j ,Fbtk#- rkcamctfyk`j ,Fwf`dcf#-Xtrkamctfyk`j ,_jyzmc`# % tfhj` kgg efrhjt dzj tk mcwjr tk|cbctsU
8/2/2019 Diabetes and Drug Therapy
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Ocazf`cdj
Ocazf`cdj → lj~ftcb amzbkj ~rkdzbtck` f`d c`brjfjc`zmc`%ejdcftjd ~jrc~ljrfm amzbkj z~tfhj.
Jggcbfbs Djbrjfj gftc`a ~mfef amzbkj 7>%1> ea+dm ,2.2%2.3 eekm+M#
_jdzbj F6B 6.>%?.>*
Ktljr Jggjbt Dcfrrljf f`d fodkec`fm dcbkegkrt
Mfbtcb fbcdkc cg ce~rk~jrms ~rjbrcojd
Bfzj efmm djbrjfj c` MDM blkmjtjrkm mjwjm f`d trcamsbjrcdj
@k ~jbcgcb jggjbt k` omkkd ~rjzrj @k qjcalt afc`- qctl ~kcomj ekdjt qjcalt mk
Bk`trfc`dcbftjd c` ~ftcj`t qctl ce~fcrjd rj`fm gz`btck`
Ejdcbftck` c` tlc Bmf9 ejtgkrec` ,Amzbk~lfaj#- ejtgkrec`lsdrkblmkrcdj j|tj`djd rjmjfj ,Amzbk~lfaj \_#
8/2/2019 Diabetes and Drug Therapy
http://slidepdf.com/reader/full/diabetes-and-drug-therapy 19/28
Rzmgk`smzrjf
Rzmgk`smzrjf c`brjfj j`dkaj`kz c`zmc` jbrjtck` Jggcbfbs
Djbrjfj gftc`a ~mfef amzbkj 2.2%2.3 eekm+M
_jdzbj F6B os 6.>%?.>*
Ktljr Jggjbt Ls~kamsbjecf
Qjcalt afc`
@k ~jbcgcb jggjbt k` ~mfef mc~cd kr omkkd ~rjzrj
Aj`jrfmms tlj mjft j|~j`cwj bmf kg ejdcbftck`
Ejdcbftck` c` tlc Bmf9
Gcrt aj`jrftck` 9 blmkr~rk~fecdj - tkmfyfecdj- fbjtklj|fecdj -tkmoztfecdj
Rjbk`d aj`jrftck` 9 amsozrcdj - amcej~crcdj - amc~cycdj
8/2/2019 Diabetes and Drug Therapy
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Ejamctc`cdj tcezmftj c`zmc` jbrjtck` ,rf~cdms f`d gkr f lkrt dzrftck`# c`
tlj ~rjj`bj kg amzbkj. Jggcbfbs
→ ~jfh ~kt~rf`dcfm amzbkj
→ ~mfef amzbkj 2.2%2.3 eekm+M
→ LoF6B 6.>%?.>*
Ktljr Jggjbt
Ls~kamsbjecf ,efs oj mj tlf` qctl zmgk`smzrjf cg ~ftcj`t lf f
wfrcfomj jftc`a bljdzmj#
Qjcalt afc` @k ca`cgcbf`t jggjbt k` ~mfef mc~cd mjwjm
Rfgj ft lcaljr mjwjm kg jrze Br tlf` zmgk`smzrjf
Ejdcbftck` c` tlc Bmf9 rj~famc`cdj - `ftjamc`cdj
8/2/2019 Diabetes and Drug Therapy
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Fm~lf%amzbkcdfj C`lcoctkr
Fm~lf%amzbkcdfj c`lcoctkr omkbh tlj j`ysej tlft dcajt
tfrblj c` tlj efmm c`tjtc`j Jggcbfbs
→ ~jfh ~kt~rf`dcfm amzbkj ?.?%?.< eekm+M
→ gftc`a ~mfef amzbkj 6.4%6.1 eekm+M
Djbrjfj F6B >.:%6.>*
Ktljr Jggjbt
Gmftzmj`bj kr fodkec`fm dcbkegkrt
@k ~jbcgcb jggjbt k` mc~cd kr omkkd ~rjzrj
@k qjcalt afc`
Bk`trfc`dcbftjd c` ~ftcj`t qctl c`gmfeeftkrs okqjm dcjfj kr
bcrrlkc
Ejdcbftck` c` tlc Bmf9 fbfrokj - ecamctkm
8/2/2019 Diabetes and Drug Therapy
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Jggcbfbs kg Ek`ktljrf~s qctl
Krfm Dcfojtj Faj`tDrza Gftc`a ^mfef
Amzbkj _jdzbtck`,eekm+m#
F6B_jdzbtck`
,*#
Tlcfykmcdc`jdck`j 6.3%?.? >.:%6.>
Rzmgk`smzrjf 2.2%2.3 6.>%?.>
Ocazf`cdj 2.2%2.3 6.>%?.>
Ejamctc`cdj 2.2%2.3 6.>%?.>
Fm~lf%amzbkcdfjc`lcoctkr
6.4%6.1 >.:%6.>
DjGrk`yk F``fm kg C`tjr`fm Ejdcbc`j 633386269?<6%2>2@ftlf` @ J`am I Ejd ?>>?8 2419624?%6243
8/2/2019 Diabetes and Drug Therapy
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Trjftej`t kg Ts~j ? Dcfojtj
Dcfa`kc
Tljrf~jztcb Mcgjtsmj Blf`aj
Bkeoc`ftck` Tljrf~s % Krfm Drza qctl C`zmc`
Bkeoc`ftck` Tljrf~s % Krfm Drza K`ms Ek`ktljrf~s
8/2/2019 Diabetes and Drug Therapy
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Rzmgk`smzrjf ( Ocazf`cdj
Amsozrcdj ( Ejtgkrec` % Amzbkwf`bj
Amc~cycdj ( Ejtgkrec` % Ejtfamc~
Tlcfykmcdc`jdck`j ( Ocazf`cdj_kcamctfyk`j ( Ejtgkrec` % Fwf`dfejt
Gc|jd Bkeoc`ftck` ^cmm
Bkeoc`ftck` Tljrf~s gkr Ts~j ? Dcfojtj
8/2/2019 Diabetes and Drug Therapy
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Bkeoc`ftck` Tljrf~s
gkr Ts~j ? Dcfojtj
Ocazf`cdj
C`zmc`
Rzmgk`smzrjf
Fm~lf%amzbkcdfj
C`lcoctkr
Ejamctc`cdj Tlcfykmcdc`jdck`j
8/2/2019 Diabetes and Drug Therapy
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Bmc`cb Bljbhmct
Amsbfjecb bk`trkm% lkej ek`ctkrc`a- LoF6b- c`ictj- ls~k
Dcjt- j|jrbcj- Rekhc`a- fmbklkm
O^
Qjcalt
Efbrkwfbzmfr% BWF- CLD
Ecbrkwfbzmfr% _jtc`k~ftls- ecbrkfmozec`zrcf-`jzrk~ftls
Gkkt
Mc~cd ~rkgcmj- rj`fm gz`btck`- TRL
8/2/2019 Diabetes and Drug Therapy
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R~jbcfm bcrbzetf`bj
C`tjrbzrrj`t cmm`j ^jrc%k~jrftcwj ~jrckd
^rja`f`bs
Blcmdlkkd f`d fdkmjbj`t Ktljr% trfwjmmc`a fbrk tcej yk`j
J|jrbcj
Fmbklkm
Drcwc`a
8/2/2019 Diabetes and Drug Therapy
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Ikc` `kq gkr G_JJ&
qqq.Gfbjokkh.bke+J|fewcmmj