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Familiarity with different types of diabetes medications - with English subtitles

Familiarity with various diabetes drugs Dr. Hamid Sajjad, internal medicine specialist I am Dr. Hamid Sajjad, Internist. In this video I am going to, About different types of drugs, In the treatment of diabetes, Used to talk. If you are interested, Watch the rest of the video. The variety of these drugs has increased today, Also many combination drugs, Has entered the market. And all drugs with different brands, They are available in the market. It's certain, Medications are prescribed by your doctor. But patients need, Have enough information about their medications. The patient should know the name of the medication, Exact amount of medicine, The correct way to use it, And with potential hazards, And be familiar with drug warnings. If patients have enough information, Have about their medications, This is good for their health, Because at best, Use the benefits of medicine, And beware of its potential dangers. That some patients, They are satisfied only with the color of the drugs. Not enough. The first drug I want to mention, It is metformin. This drug after insulin, Is the oldest medicine, Used to treat diabetes, Something about 50 years. In addition to treating diabetes, In the prevention of diabetes, It is also effective in pre-diabetic patients. Reduces fasting sugar, It also lowers postprandial sugar , The lowest risk of lowering sugar He has diabetes among oral medications. Risk of heart disease, It also reduces coronary artery stenosis. If we are going to give the patient medicine to start with, This drug is better, Prescribe with another drug. If we want to increase the dose of medicine, Should be every two to three weeks, Increase the amount. His job is, Which reduces the production of sugar in the liver, And the arrival of sugar, Make it easy to cell. 2 to 3 kg, Reduces the weight of a person with diabetes, , Which for this amount of weight loss It takes time. Improves the patient's fat status. It is also used for fatty liver. In female hair, Polycystic ovaries are also prescribed. And improves uterine bleeding. In infertility, Also in resistance to clomiphene, Is used. Causes ovulation, And becomes a regular menstrual cycle. If we are going to start medicine, As mentioned, Metformin is a good option for the patient. Because it is an effective and inexpensive drug, And has known side effects. In cases where, Less than 5 years have passed since the patient's diabetes, This drug is more useful. , For overweight diabetic patients It can be a good option. Metformin also has a slow release form, Which has fewer gastrointestinal side effects. Among its side effects, Diarrhea Anorexia, , Vitamin B12 deficiency Metallic taste in the mouth, And lactic acidosis, These side effects are usually rare. The second group of drugs that I introduce, The drug of the family is sulfonylureas. The most famous of them is Glybenclamide, And is glyclazide These drugs are very old, Most of them are no longer used. Patients with a long history of diabetes, They still use glibenclamide. Many patients are addicted to these drugs, , But if we want to prescribe medicine We no longer use these drugs. , Except for slow-release samples of these drugs Such as Diabzide, Which is a slow release of clayclazide, And diamicron, Which is also the slow release of glycoside. Metformin combination tablets, As well as glibenclamide, Available in the market called glucovans. These drugs are obsolete Because they have little power, And have high side effects. , Including these effects of hypoglycemia Or hypoglycemia. It also causes overweight, And have a lot of interaction with other drugs. , In terms of mechanism of action They stimulate insulin secretion. Chlorpropamide Has the longest effect, And Nutglinide, It has the shortest effect length Among its other disadvantages, This is after a few years, The drug becomes ineffective. Because insulin-producing cells, There is no longer any influence on it. As mentioned, These drugs interact a lot with other drugs. Including warfarin, Ketoconazole, And aspirin. These drugs should be taken at short intervals from food The main problem with these drugs is The risk is hypoglycemia, , Especially in elderly patients Causes a problem, And if it happens, The patient must have at least 48 hours, Be hospitalized and monitored. Taking this drug in liver failure, And significant kidney disease is not recommended. , There is another group of drugs Called pioglitazone, And rosiglitazone, which fall into this category. Their job is to Which reduce the production of sugar in the liver, Reduce insulin resistance, Consume sugar, They rise at the cellular level, Increase insulin sensitivity, And have a positive effect on blood lipids.