Metformin

Dr. McPhee: Excellent choice! Metformin is the most appropriate drug for Mr. Green, who has no signs of kidney or hepatic dysfunction and no compelling co-morbidity to indicate that one of the newer, more expensive medications, is indicated. Metformin can be useful in overweight patients. Additionally, it has cardiovascular benefits, which are important given Mr. Green’s history of hypertension.  

In addition to prescribing metformin, Dr McPhee explains that they need to monitor his blood pressure to ensure continued control and gives Mr. Green lifestyle advice, as it forms an important part of management of his type 2 diabetes. Mr. Green admits that he has received similar advice in the past but he finds it difficult to comply with these recommendations. Dr. McPhee explains that metformin may also help in reducing weight.

Which pharmacological effect is most likely to occur with metformin in diabetic patients like Mr. Green?




  • Decreased production of glucose from the liver
  • Increased secretion of insulin from the pancreas
  • Decreased entry of glucose into muscle cells
  • Increased entry of fatty acids into adipocytes
End Session and View Feedback
  • O pai diz ao filho. [undo]
  • Tamponul de liză [undo]
  • Δίνετε επιφανειοδραστικό παράγοντα μέσω ενδοτραχειακού σωλήνα [undo]
  • Option 3 [undo]
  • Activated charcoal [undo]
  • Ίδια επίπεδα θορύβου [undo]
  • Proteinase K [undo]
  • N acetyl cysteine [undo]
  • Πάρε μόνος σου αγχολυτικά φάρμακα ή ξεκουράσου ή μείωσε την κατανάλωση αλκοόλ [undo]
  • Προκάρδιο άλγος [undo]
  • Next visit [undo]
  • Jeg bestemmer å ta det opp med henne så fort så mulig [undo]
  • Option 2 [undo]
  • O Costas e o pai falam e passam algum tempo juntos. [undo]
  • >Ο θόρυβος θα παραμείνει ίδιος [undo]
  • Clonación molecular [undo]
  • Χορηγείτε ενδοφλέβια αντιβιοτικά [undo]
  • Put on gloves [undo]
  • Option 1 [undo]
  • Μείωση [undo]
  • Commentary [undo]
  • ISOLATION OF DNA AND POLYMERASE CHAIN REACTION (PCR) [undo]
  • Jeg henviser foreldrene til styren. Det er faktisk styren sin jobb å ha oversikt over personalets sitt henvender til barn [undo]
  • Start [undo]
  • Case [undo]
  • IDENTIFICATION OF BIOMOLECULES [undo]
  • Ensure you have one person with you [undo]
  • Root Node [undo]
  • Jeg forklarer foreldrene at jeg tar opp saken med assistenten så fort så mulig [undo]
  • Alelos [undo]
  • El îi spune tatălui său să sune o ambulanță. [undo]
  • Exlpain the procedure and ask for consensus [undo]
  • Rasgos [undo]
  • Aislamiento de ADN: Pasos experimentales [undo]
  • HeLa cells are easily cultured and highly proliferative. [undo]
  • Începe să plângă. [undo]
  • Jeg snakker med styrer om dette [undo]
  • Game Over [undo]
  • Refer for endoscopy for biopsy [undo]
  • Proteinaza K [undo]
  • Start gluten free diet [undo]
  • Tampoane de spălare [undo]
  • Genotipo [undo]
  • Refer to gastroenterologist [undo]
  • Meet the patient [undo]
  • Definición 1 [undo]
  • [undo]
  • new node [undo]
  • Costi are 25 de ani și stă împreună cu tatăl și mama sa în minunata lor casă. [undo]
  • Root Node [undo]
  • Second [undo]
  • [undo]
  • Root Node [undo]
  • Last [undo]
  • METABOLISM OF THE CELL ENZYMES [undo]
  • PICO [undo]
  • Θόρυβος εικόνας [undo]
  • AISLAMIENTO DE ADN Y REACCIÓN EN CADENA DE LA POLIMERASA (PCR) [undo]
  • El își ignoră mama. [undo]
  • >Να υποδιπλασιάσουμε το αριθμό των φωτονίων. [undo]
  • Refer for endoscopy for biopsy [undo]
  • Learning Point [undo]
  • Station 3 - Blood pressure measurement [undo]
  • Iodine Test [undo]
  • IZOLAREA AND-ULUI ȘI REACȚIA ÎN LANȚ A POLIMERAZEI (PCR) [undo]
  • Complete investigations with sweat test, ESR, CRP [undo]
  • Περαιτέρω εξετάσεις αίματος [undo]
  • Διακόπτετε την έγχυση και αλλάζετε την οδηγία [undo]
  • DNA Isolation: Experimental steps [undo]
  • Complete workup with sweat test, iron, B12, folate, C-reactive protein and ESR, repeat thyroid function [undo]
  • Επόμενο [undo]
  • Râde de mama lui. [undo]
  • Root Node [undo]
  • Complete workup with sweat test, iron, B12, folate, C-reactive protein and ESR, repeat thyroid function [undo]
  • new node [undo]
  • Ethanol [undo]
  • Στεροειδή - Φουροσεμίδη [undo]
  • Άνδρας 66 ετών με συννοσηρότητες [undo]
  • Learning Point [undo]
  • Surfactant -Frusemide [undo]
  • Steroids -Antibiotics [undo]
  • Pedro y su padre juegan juntos. [undo]
  • Antibiotics-Echocardiogram [undo]
  • new node [undo]
  • Antibiotics-Antibiotics [undo]
  • Mrs. Rahma's Knee Dilemma [undo]
  • Surfactant -Antibiotics [undo]
  • Steroids-Echocardiogram [undo]
  • GENÉTICA MENDELIANA Y PROBLEMAS GENÉTICOS [undo]
  • Folosește doar probabilitatea mendeliană pentru a deduce o anomalie cromozomială [undo]
  • Pedro y su padre dialogan y pasan tiempo juntos. [undo]
  • Game Over [undo]
  • Next visit [undo]
  • Refer for endoscopy for biopsy [undo]
  • Game Over [undo]
  • steroids – diuretics – bili and discuss [undo]
  • Prácticas de laboratorio criminalístico [undo]
  • Pedro y su padre discuten. [undo]
  • steroids – diuretics – bili and discharge [undo]
  • Definiciones básicas sobre enzimas [undo]
  • Στεροειδή - Ειδικός γιατρός [undo]
  • Antibiotics-Frusemide [undo]
  • o asthennis exei pyreto [undo]
  • surfactant – diuretics – bili and discuss [undo]
  • Antibiotics-Consultant [undo]
  • Continue with clinical examination [undo]
  • ponstan [undo]
  • Surfactant-Consultant [undo]
  • METABOLISMO DE LAS ENZIMAS CELULARES [undo]
  • SEGURIDAD EN EL LABORATORIO [undo]
  • steroids – diuretics – split bili and other tests [undo]
  • IDENTIFICATION OF BIOMOLECULES [undo]
  • surfactant – diuretics – split bili and other tests [undo]
  • DNA Amplification [undo]
  • Επιφανειοδραστικός παράγοντας - Φουροσεμίδη [undo]
  • Insulin [undo]
  • Empagliflozin [undo]
  • Pioglitazone [undo]
  • Commentary [undo]
  • Αντιβιοτικά - Φουροσεμίδη [undo]
  • Metabolismo y Enzimas [undo]
  • Iodine (isotope 131) [undo]
  • Ζητάω από το γιατρό να διρθώσει τις αρρυθμίες μου το συντομότερο. [undo]
  • new node [undo]
  • Guanethidine [undo]
  • Commentary [undo]
  • Protein Synthesis [undo]
  • Propylthiouracil [undo]
  • Insulin [undo]
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten hun oppfører seg [undo]
  • Seguridad en el laboratorio [undo]
  • Στεροειδή - Αντιβιοτικά [undo]
  • Celulele HeLa sunt ușor de cultivat și proliferează foarte ușor [undo]
  • Propranolol [undo]
  • Presentation [undo]
  • Επιφανειοδραστικός παράγοντας - Ειδικός γιατρός [undo]
  • Επιφανειοδραστικός παράγοντας - Υπερηχοκαρδιογράφημα [undo]
  • Αντιβιοτικά - Ειδικός γιατρός [undo]
  • Țipă la mama lui. [undo]
  • Metformin [undo]

Map: Michael Green_GEMD_1 (1115)
Node: 21087
Score:

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • new node
  • O pai diz ao filho.
  • Tamponul de liză
  • Δίνετε επιφανειοδραστικό παράγοντα μέσω ενδοτραχειακού σωλήνα
  • Option 3
  • Activated charcoal
  • Ίδια επίπεδα θορύβου
  • Proteinase K
  • N acetyl cysteine
  • Πάρε μόνος σου αγχολυτικά φάρμακα ή ξεκουράσου ή μείωσε την κατανάλωση αλκοόλ
  • Προκάρδιο άλγος
  • Next visit
  • Jeg bestemmer å ta det opp med henne så fort så mulig
  • Option 2
  • O Costas e o pai falam e passam algum tempo juntos.
  • >Ο θόρυβος θα παραμείνει ίδιος
  • Clonación molecular
  • Χορηγείτε ενδοφλέβια αντιβιοτικά
  • Put on gloves
  • Option 1
  • Μείωση
  • Commentary
  • ISOLATION OF DNA AND POLYMERASE CHAIN REACTION (PCR)
  • Jeg henviser foreldrene til styren. Det er faktisk styren sin jobb å ha oversikt over personalets sitt henvender til barn
  • Start
  • Case
  • IDENTIFICATION OF BIOMOLECULES
  • Ensure you have one person with you
  • Root Node
  • Jeg forklarer foreldrene at jeg tar opp saken med assistenten så fort så mulig
  • Alelos
  • El îi spune tatălui său să sune o ambulanță.
  • Exlpain the procedure and ask for consensus
  • Rasgos
  • Aislamiento de ADN: Pasos experimentales
  • HeLa cells are easily cultured and highly proliferative.
  • Începe să plângă.
  • Jeg snakker med styrer om dette
  • Game Over
  • Refer for endoscopy for biopsy
  • Proteinaza K
  • Start gluten free diet
  • Tampoane de spălare
  • Genotipo
  • Refer to gastroenterologist
  • Meet the patient
  • Definición 1
  • new node
  • Costi are 25 de ani și stă împreună cu tatăl și mama sa în minunata lor casă.
  • Root Node
  • Second
  • Root Node
  • Last
  • METABOLISM OF THE CELL ENZYMES
  • PICO
  • Θόρυβος εικόνας
  • AISLAMIENTO DE ADN Y REACCIÓN EN CADENA DE LA POLIMERASA (PCR)
  • El își ignoră mama.
  • >Να υποδιπλασιάσουμε το αριθμό των φωτονίων.
  • Refer for endoscopy for biopsy
  • Learning Point
  • Station 3 - Blood pressure measurement
  • Iodine Test
  • IZOLAREA AND-ULUI ȘI REACȚIA ÎN LANȚ A POLIMERAZEI (PCR)
  • Complete investigations with sweat test, ESR, CRP
  • Περαιτέρω εξετάσεις αίματος
  • Διακόπτετε την έγχυση και αλλάζετε την οδηγία
  • DNA Isolation: Experimental steps
  • Complete workup with sweat test, iron, B12, folate, C-reactive protein and ESR, repeat thyroid function
  • Επόμενο
  • Râde de mama lui.
  • Root Node
  • Complete workup with sweat test, iron, B12, folate, C-reactive protein and ESR, repeat thyroid function
  • new node
  • Ethanol
  • Στεροειδή - Φουροσεμίδη
  • Άνδρας 66 ετών με συννοσηρότητες
  • Learning Point
  • Surfactant -Frusemide
  • Steroids -Antibiotics
  • Pedro y su padre juegan juntos.
  • Antibiotics-Echocardiogram
  • new node
  • Antibiotics-Antibiotics
  • Mrs. Rahma's Knee Dilemma
  • Surfactant -Antibiotics
  • Steroids-Echocardiogram
  • GENÉTICA MENDELIANA Y PROBLEMAS GENÉTICOS
  • Folosește doar probabilitatea mendeliană pentru a deduce o anomalie cromozomială
  • Pedro y su padre dialogan y pasan tiempo juntos.
  • Game Over
  • Next visit
  • Refer for endoscopy for biopsy
  • Game Over
  • steroids – diuretics – bili and discuss
  • Prácticas de laboratorio criminalístico
  • Pedro y su padre discuten.
  • steroids – diuretics – bili and discharge
  • Definiciones básicas sobre enzimas
  • Στεροειδή - Ειδικός γιατρός
  • Antibiotics-Frusemide
  • o asthennis exei pyreto
  • surfactant – diuretics – bili and discuss
  • Antibiotics-Consultant
  • Continue with clinical examination
  • ponstan
  • Surfactant-Consultant
  • METABOLISMO DE LAS ENZIMAS CELULARES
  • SEGURIDAD EN EL LABORATORIO
  • steroids – diuretics – split bili and other tests
  • IDENTIFICATION OF BIOMOLECULES
  • surfactant – diuretics – split bili and other tests
  • DNA Amplification
  • Επιφανειοδραστικός παράγοντας - Φουροσεμίδη
  • Insulin
  • Empagliflozin
  • Pioglitazone
  • Commentary
  • Αντιβιοτικά - Φουροσεμίδη
  • Metabolismo y Enzimas
  • Iodine (isotope 131)
  • Ζητάω από το γιατρό να διρθώσει τις αρρυθμίες μου το συντομότερο.
  • Empagliflozin
  • new node
  • Guanethidine
  • Commentary
  • Protein Synthesis
  • Propylthiouracil
  • Insulin
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten hun oppfører seg
  • Seguridad en el laboratorio
  • Στεροειδή - Αντιβιοτικά
  • Celulele HeLa sunt ușor de cultivat și proliferează foarte ușor
  • Propranolol
  • Presentation
  • Επιφανειοδραστικός παράγοντας - Ειδικός γιατρός
  • Επιφανειοδραστικός παράγοντας - Υπερηχοκαρδιογράφημα
  • Αντιβιοτικά - Ειδικός γιατρός
  • Țipă la mama lui.
  • Metformin

Reminder

empty_reminder_msg

FINISH

Time is up