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?




  • Increased entry of fatty acids into adipocytes
  • Decreased entry of glucose into muscle cells
  • Decreased production of glucose from the liver
End Session and View Feedback
  • Nurse's Initial Report [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme [undo]
  • Furosemide (loop diuretic) [undo]
  • Option 2: Only B is correct [undo]
  • CULTIVO Y CRECIMIENTO MICROBIANO [undo]
  • BEGIN SCENARIO [undo]
  • Analgetics [undo]
  • Root Node [undo]
  • Ζητώ καρυότυπο [undo]
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε [undo]
  • Permanently stop taking metformin [undo]
  • rewrerwe [undo]
  • Χαρακτηριστικά [undo]
  • Examination [undo]
  • Glyceryl trinitrate (organic nitrate) [undo]
  • Presentation [undo]
  • Video Consultation [undo]
  • ELECTRON MICROSCOPY [undo]
  • Επιλογή 3 [undo]
  • Ask local cadre to help [undo]
  • Definition 1 [undo]
  • Επιλογή 2 [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Decreased production of glucose from the liver [undo]
  • Start the consultation without verification [undo]
  • Definition 2 [undo]
  • Omalizumab (IgE antibody)/Salbutamol (SABA) [undo]
  • Laboratory Safety [undo]
  • Salbutamol (SABA) [undo]
  • Continue taking metformin as prescribed [undo]
  • MICROSCOPIA ELECTRONICĂ [undo]
  • Decreased levels of HDL [undo]
  • Insulin [undo]
  • Preparation of liquid cultures [undo]
  • Γονότυπος [undo]
  • Αλληλόμορφα [undo]
  • Option 1: A and C are correct [undo]
  • Food laboratory [undo]
  • Continue the consultation with what it is [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • Continue to consider the movement of water [undo]
  • Temporarily stop taking metformin [undo]
  • Επιλογή 3 [undo]
  • Increased secretion of insulin from the pancreas [undo]
  • Metformin [undo]

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

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Verify patient identity and obtain e-consent before starting.
  • Nurse's Initial Report
  • Sacubitril-valsartan (ARNI)
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme
  • Furosemide (loop diuretic)
  • Option 2: Only B is correct
  • CULTIVO Y CRECIMIENTO MICROBIANO
  • BEGIN SCENARIO
  • Analgetics
  • Root Node
  • Ζητώ καρυότυπο
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε
  • Permanently stop taking metformin
  • rewrerwe
  • Χαρακτηριστικά
  • Examination
  • Glyceryl trinitrate (organic nitrate)
  • Presentation
  • Video Consultation
  • ELECTRON MICROSCOPY
  • Επιλογή 3
  • Ask local cadre to help
  • Definition 1
  • Επιλογή 2
  • Warfarin may be commenced as an alternative to apixaban
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει
  • Ramipril (ACE inhibitor)
  • Decreased production of glucose from the liver
  • Start the consultation without verification
  • Definition 2
  • Omalizumab (IgE antibody)/Salbutamol (SABA)
  • Laboratory Safety
  • Salbutamol (SABA)
  • Continue taking metformin as prescribed
  • MICROSCOPIA ELECTRONICĂ
  • Decreased levels of HDL
  • Insulin
  • Preparation of liquid cultures
  • Γονότυπος
  • Αλληλόμορφα
  • Option 1: A and C are correct
  • Food laboratory
  • Continue the consultation with what it is
  • Decreased entry of glucose into muscle cells
  • Continue to consider the movement of water
  • Temporarily stop taking metformin
  • Επιλογή 3
  • Increased secretion of insulin from the pancreas
  • Metformin

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