TREATMENT OF DM: ORAL HYPOglycaemics

ThiaZOlidiNEdiones (GlitaZONES)

SulphoNYLureas

Examples:

GliBENclaMIDE

GliCLAzide

GliPIzide

TolBUTAmide

ChlorPROpaMIDE

INCREASE insulin secretion

High initial response

No lag period b4 response

Effective, well-tolerated & widely used

Shud not give glibenclamide & chlorpropamide (=long-acting) 2 over 70s if live alone - fatal

S.Es

WEIGHT GAIN by increasing inulin secretion

Hypoglycaemia

Secondary failure rate = 5-10% per yr

Prandial Glucose Regulators (PGR)

BIGuANIDES

Alpha GluCOSidase Inhibitors