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Diabetes Case – Invokana
In making some of these decisions about medication changes, there isn’t always a perfect answer, and people disagree, but I didn’t write this post to tell you that people disagree – hopefully most...
“Treating” Behaviors in the Elderly
Alright, new topic…let’s roll…I’m going to tackle some psych tonight, because I always get asked questions about these meds! The topic of psych medications in general is very challenging to say the...
Should you only use one pharmacy?
I recently saw an article posted on KevinMD.com that was written last year or so, it also prompted me to look at other articles similar to this. In the article, a medical student describes the...
Sulfonylureas
I’m going to cover sulfonylureas tonight; this class is a mainstay in the treatment Type 2 diabetes. Other than metformin, these drugs are probably the most frequent oral class used. The most...
Januvia & DPP-4 Inhibitors
Today, it's the DDP-4 inhibitors! DPP-4 inhibitors can be expensive which may limit their use from time to time. These drugs work to increase the amount of incretin in the body. You can look back at...
I’m Thankful for Great People!
A few months back, I had this enlightening interaction with a nursing home resident: I was working away at a nurses’ station and this elderly gentleman strolls by in his wheel chair, telling me I...
New Kid on the Diabetes Block
I’m going to flip back to oral diabetes meds to cover a new agent that has recently been approved. It is a new class of diabetes med, but generally means it’s going to be quite expensive. This drug...
Sliding Scale Insulin
Thanks to Sarah Taylor, Pharm.D. for her guest post tonight! Sliding scale insulin, or SSI, is commonly seen in nursing homes, however, it might suprise most healthcare workers to hear that this...
The TZD’s for Diabetes
The TZD’s or the thiazolinawhachamacallits…Avandia (rosiglitizone) is the bad boy on the block that no one typically uses anymore due to potential issues with heart failure. Actos (pioglitazone) is...
Incretin Related Drugs and Diabetes
Victoza and Byetta have a similar mechanism of action, and actually we can compare these to the DDP-4 inhibitors as well. These drugs are GLP-1 analogs which is similar to an incretin hormone in the...











