Making Sense of Diabetic Medications
Over 25 million Americans have diabetes. Lisa Kroon, Professor of Clinical Pharmacy at UCSF, covers the medicines used to treat Type 2 diabetes, dual therapies and insulin. Recorded on 07/17/2014. [11/2014] [Show ID: 28509]
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To deal with diabetes intelligently, there is so much more than what is being discussed
wow such an organized but easy-to-understand lecture! now I see a thing or two about DM meds. Thank you so much!!
About 90% of hemoglobin is hemoglobin A. (The "A" stands for adult type.) Although one chemical component accounts for 92% of hemoglobin A, approximately 8% of hemoglobin A is made up of minor components that are chemically slightly different. These minor components include hemoglobin A1c, A1b, A1a1, and A1a2.
Thank UCTV, Prof. Lisa Kroon & all UCTV team for your great information & inspiration. May people all over the world be healthy & wealthy (too).
Prof. Kroon thanks for all the info you put into that excellent presentation.
Fantastic presentation! Helpful during my studies for the CDE!
Thanks for clear and thorough lecture which I enjoyed very much.
Very good job. Explanation was thorough, clear to both professionals as well as common people.
+spelca888 _?????_
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Thanks so much! Appreciated.
Retired pharmaceutical rep. and type 2 diabetic depending on insulin. Your program is the best I have seen in over 20 years.
If you keep throwing drugs at a problem you do not address root cause Eating foods that spike insulin Look at how continuous glucose monitoring shows you very immediately what you eat affects your blood glucose levels and then you can remove that food or moderate it The slippery slope of treatment is that each drug only works for a short time before you need to add more
thank you, much more clearer than my own pharmacy school......
Absolutely fantastic. Thank you very much for your advice. God bless..
UCSF mini medical school lectures series have been my bus stop for most up to date information on medical education and practice. Thanks UCTV for this wonderful job to educate the public.....
@Umar Muhammad hey ,if anyone else wants to discover try Panlarko Amazing Diabetes Planner (do a search on google ) ? Ive heard some decent things about it and my brother in law got excellent results with it.
I've been researching into diabetes after which we found a great resource at Diabetes Crusher Tactic (google it if you are interested)
Umar Muhammad Kudos for the video content! Excuse me for chiming in, I would love your thoughts. Have you considered - Patlarny Diabetes Ruins Principle (Sure I saw it on Google)? It is a smashing one off product for destroying diabetes minus the headache. Ive heard some incredible things about it and my old buddy Taylor got great results with it.
Thank you!! Made a lot of sense.. Studying for a midterm and needed an in depth review on diabetic medications.
i know I'm kind of off topic but does anyone know a good website to stream new movies online?
@Bentley Darwin I dunno I watch on Flixportal. just google after it:P -kaysen
@Kaysen Zion Thanks, I signed up and it seems like they got a lot of movies there :D I appreciate it!!
@Bentley Darwin no problem =)
thank you for this concise but detailed information on the management of diabetes. God bless you :)
very good and clear, helped alot
appreciating keep it up
THANKS explains very clearly 👍.from Sri Lanka
Thank You, Great lecture.
Christinme Bautista
what an amazing lecture
its rare that I'm surprized however watching this certainly would make anyone say wow but do viewers realise there's recent discovery students all over the world are getting results I found out about this by studying website take a look now search google for Diabetes Crusher Tactic
Okay. So I've gone through most of these comments. The thing is, the lecture is on understanding the medications used in controlling T2DM so I don't get why some people are trying to undermine a whole profession. The lecture is, and I repeat again, to help us understand how these drugs work. Every good professional would suggest a healthy lifestyle (exercise and diet) for T2DM. However, some people do not respond effectively to such non-pharmacological controls, and may need medications. Insulin is usually not used in managing T2DM, however, there are situations where some T2DM patients do not produce enough insulin, and in such cases, may need extra source of insulin. Just by the way, T1DM patients are now receiving these drugs metformin et al in addition to their normal insulin so as to minimize possibility of insulin resistance.
Nice presentation… another and seemingly more effective and certainly less expensive way to treat diabetes is diet. I found out trough intermittent fasting and maintenance of a keytogenic diet I was able to get off of medication and maintain safe glucose levels. A few channels here on KZhead explain how it works. One is Dr. Eric Bergs channel another is called Beat Diabetes also a few lecturers on fasting by Dr fung that I’ve seen on here have been pretty informative and helpful. As well as many other’s
They know all that, drug pushers care more about money than anything.
@@captaindrywall and the most addictive drug of all is sugar. Has every kid on earth hooked. I’m pretty sure the sugar and grain industries are not that big of a fan of low carb diets either. Lol ..
I am amazed at all the stupid and noxious comments written here by people who thrive on conspiracy theories. This is not a talk on "management of diabetes", but one about the pharmacological treatment, with a focus on the drugs available. It is very clear from the beginning of the lecture that pharmacological treatment is not the first line, but something that should be offered to patients who do not achieve their goals or cannot tolerate the lifestyle changes proposed. Lifestyle changes and dietary reeducation are *still the mainstay for hyperglycemia control* (and scientists acknowledge this fact). Keep this place free from stupid, paranoid references to "Big Pharma", please. Without "Big Pharma", you could have already died from disseminated gonococcal infection.
Kudos for the Video! Apologies for the intrusion, I would love your thoughts. Have you heard about - Patlarny Diabetes Ruins Principle (Have a quick look on google cant remember the place now)? It is a good one off product for destroying diabetes without the headache. Ive heard some incredible things about it and my m8 after a lifetime of fighting got great results with it.
Great Video clip! Sorry for chiming in, I would love your opinion. Have you tried - Patlarny Diabetes Ruins Principle (erm, check it on google should be there)? It is a great exclusive guide for destroying diabetes minus the hard work. Ive heard some pretty good things about it and my old buddy Taylor after many years got astronomical success with it.
Appreciate Video! Excuse me for the intrusion, I am interested in your initial thoughts. Have you ever tried - Patlarny Diabetes Ruins Principle (Have a quick look on google cant remember the place now)? It is a good one off guide for destroying diabetes without the headache. Ive heard some interesting things about it and my friend Sam at last got excellent results with it.
Lovely Video! Sorry for the intrusion, I am interested in your initial thoughts. Have you heard the talk about - Patlarny Diabetes Ruins Principle (just google it)? It is a smashing exclusive product for destroying diabetes minus the hard work. Ive heard some extraordinary things about it and my mate after a lifetime of fighting got cool results with it.
Thanks for the video content! Sorry for chiming in, I would love your opinion. Have you heard about - Patlarny Diabetes Ruins Principle (probably on Google)? It is an awesome one off product for destroying diabetes without the hard work. Ive heard some awesome things about it and my cousin finally got astronomical results with it.
PLEASURE TO LISTEN TO YOU DOC!!!
Hi Flat World Folks, this is a lecture about the pharmacological management of diabetes presented by a pharmacy professor. It is not all-inclusive of medical management which includes screening, lifestyle modifications, and consequences of disease. She actually mentions that these are the first line approaches but since this is a pharmacology lecture for managing current disease in those who are still making those changes or aren't willing to employ them hence the lecture is on medications. Provides have more than one lecture in their education. Rant over.
Bitter melon..I can vouch on that. My grandma..that's all she has to manage her DM 2.. she eats the vegetable too. I'm not quite sure what's the name but it should be available online..
Greatest mam of this world
Love to see aBritish version of this lecture. Only Poiglitazone on NICE now
Daisy Roots jjj Mj
Thanks for the presentation. It's always good to understand what each class of drugs do so that I can help people get off of them safely. Obesity is also just a symptom of T2D not the cause. There are many thin T2 diabetics as well as many obese non-T2 diabetics.
80-90% of type 2 diabetics are overweight or obese. type 2 diabetes is 2-3x more common in obese patients
@@IITaDHGdALToNII Correct. When their fat cells expand beyond capacity they become insulin resistant. Familial lipodystrophy is a genetic condition where thin people cannot expand their fat cells also becoming insulin resistant. Asians in particular are common
I'm a Nurse Practitioner and wanted a refresher on the different DM2 meds and how they work. This was very nicely done and I learned things I never knew. I have one question and hopefully it isn't stupid, Since the oral medications have different MOA how do you know each patient's unique defect causing their DM2? Does the medication need to match the patient's condition?
Great question! I’d like to know the answer to that as well. New NP grad here.
@@vickyvalentine7168 Its a lot of trial and error with monitoring of the bloodsugar. Every Patient reacts differently. But usually u start with diet, then go metformin, then gliptides and so one....if nothing works you end up with insulins...
Lifestyle changes are the first line treatment and the first thing all doctors recommend to their patients. Unfortunately most people are not willing to do too much for their health, don't exercise or eat healthy. And you need to help these people somehow too.
Super
The treatment goals sighed in this video are much too high to avoid complications from diabetes. Some researchers have sight that insulin levels are paramount instead of sugar levels in the blood relating to type II diabetes.
What about insulin resistance?
I have chronic sinusitis and asthma and spondyloarthropathy, as well as irritable bowel disease, and therefore, I typically take a few courses of steroids every year. It's been my experience that Prednisone SIGNIFICANTLY lowers my blood sugars--every single time I take it. Like, I see a 20- to 40- point decrease in my fasting sugars (which have been the most resistant to treatment), and a 20 point decrease in my evening sugars, which can occasionally be elevated above 140. I think there are likely a sub-class of Type II diabetics like me whose blood sugars respond very well to steroid therapy--perhaps because I have whole-body relief from all inflammatory symptoms. Do you have any information or data on this phenomenon?
Laura Burgett I have never heard or seen that in my 10 years of nursing. Interesting. The only thing I can think of is if the prednisone reduces your risk of sinus infection and therefore without infection your sugars are better? Infection drastically increases blood sugar.
If metformin is preventing sugar release from the liver, what is the disaster going on in the liver with sugar build-up and organ rotting away with impacted sugar?
Metformin does reduce hepatic glucose release, but does so by decreasing the amount of glucose that hepatocytes synthesize from non-carbohydrate substrates (fatty acids and amino acids). This process is called gluconeogenesis.
As far as "sugar build-up", the liver is responsible for maintaining a critical energy reserve in the form of glycogen (a large branched-chain polymer of glucose). The liver is not "impacted" with sugar nor is it "rotting away" because of the sugar it is storing.
Great doctor like you are rare to find Thank you for your Generosity towards curing my infection cancer completely and helping other sick people , you are a blessing to the world Dr osoria on KZhead keep up the wonderful work doc .
None of the medications are needed for complete reversal of diabetes in a few months time.....
Appreciate video content! Sorry for butting in, I would appreciate your thoughts. Have you thought about - Patlarny Diabetes Ruins Principle (search on google)? It is an awesome exclusive guide for destroying diabetes without the normal expense. Ive heard some unbelievable things about it and my close friend Aubrey at last got cool success with it.
I do not agree with the speaker that "The most natural medication for diabetes is insulin". Insulin injection shows side effects and the most prevalent is the increase in adipose tissue. Insulin is an anabolic hormone that mades up fat. The natural medicine for diabetes is the right nutrition (reduce the ingestion of available carbs)
while teaching if you cross any alternative that can reduce the noise let Dr Jill Feffer know about it that she can help me with the anxiety thank Jacques
GO BLUE!!
Please mam make the video on the anti debility agents
i have type 2 diabetes,im 27 yo cant avoid rice at all.
UCLA all the way, go Bruins!
how can you have a condition and dont know it?
oh do you know what every organ is currently busy doing in your body?
working fine thanks
Are you certain? Do you know your HgbA1C lab value? BP? Because the symptoms sneak up on you gradually. It doesn't feel like a broken bone or the flu...you usually know as soon as you have those. You might have high blood pressure and not know it either. It's called the silent killer. A lot of ppl don't get regular checkups or get labs done, and therefore don't know their BP or glucose numbers. But if these are abnormal the condition is silently doing damage to your body before it's actually caught.
Given that studies consistently observe an increase in mortality in type 2 diabetes patients treated with insulin compared to other diabetes medications, I think it is quite reasonable to delay the use of insulin therapy as long as possible.
Immortalist It's not the insulin it's the late stage when insulin is introduced when I'll effects have already begun. It's years of uncontrolled sugars. It's a fallacy that the insulin causes it.
min 27 the medicine slow down the obsorbation of glucose from carbohydrates so you can continue to eat yr high fructose corn syrup added industrial foods. I live in Europe and here everyone is farting all day without bothering ffrom taking these medicines that slow the uptake of glucose. Is there a special gene when you live in USA that so many are insuline resistant.
My buddy suggested this “fizo amazing plan” (Google it) for my weight problem and diabetes. I had been adhering to a strict working out frequently. My blood glucose level was 35 points less after a day of diet and has become 60 points less as I reached day 4. That worked perfectly, nevertheless, and I felt good. I`m happy that my blood glucose is a lot better already.
46:00 Bitter melon is so disgusting.
She sounds nervous due to phama pressure!!
just tell them to stop eating so much!
In other words everybody's diabetic
Europe farting come on that's very prejudice , Europeans are changing shape due to fast foods . Fast food outlets I wonder which ones ?
what is type two diabetes?what is too much glucose?are you off the wall? blood sugar is automatic system and has been for thousands of years now you want to control it? how?why?
Ransom Locke people haven't been eating like pigs for thousands of year...this is literally a first world disease
bill i agree people eat like pigs since the industrial revolution. diabetes is a result of a defective pancreas,again what has this video got to do with blood sugar,which you cannot control?
“I Cаn’t Beliеvе it Wоrked!” Nаturааaаl Тriсk tо Rеvеrsе Yоur Diаbееetes => twitter.com/a9fbb22c16e8018fa/status/804558352671973376 Маking Sеnse оf Diаbеtiс Меdiсаtiоns
Thе TRUТH Abоut Diabetеs аnd Your Fаvоrite Fооds twitter.com/9bdd82b972cdc1346/status/804558352671973376 Маking Sense оf Diаbеtic ММMMedications
Type 1 diabetes is a result of an your bodies T-cells destroying insulin producing beta cells in the pancreas. Type 2 diabetes is where the body is no longer receptive to insulin or the body cannot produce enough insulin to keep up with the individuals metabolic intake. Maintaining a healthy blood glucose level prevents various chronic diseases such as kidney disease and lowers your risk for heart disease/ stroke. The goal of these medications is to lower an individuals A1C levels below 7% to prevent the risks associated with diabetes.
खुशखबरी ख़ुशख़बरी ख़ुशख़बरी भगवान आ चुके है नज़दीकी के ब्रह्मा कुमारी में संपर्क करें और पता गूगल में मिल जाएगा
Very good job. Explanation was thorough, clear to both professionals as well as common people.
Great doctor like you are rare to find Thank you for your Generosity towards curing my infection cancer completely and helping other sick people , you are a blessing to the world Dr osoria on KZhead keep up the wonderful work doc .