This document discusses medication therapy for diabetes mellitus. It covers topics like understanding the actions, side effects and contraindications of different medication classes like metformin, sulfonylureas, and thiazolidinediones. It also discusses insulin therapy preparation and administration. The role of diabetes educators in patient education and counseling is explained. Finally, it discusses identifying long-term complications of diabetes and seeking appropriate help.

1. Unit-V
Medication Therapy
for Diabetes Mellitus
Presented By,
Mr. Veeresh Kademani
Lecturer
Dept. of Medical surgical Nursing
NUINS

2. Topics to be covered
DM
 Introduction
 Understanding Action, Side
Effects And Contraindications of
Medication Therapy
 Insulin Therapy : Preparation And
And Administration
 Role of Diabetes Educator in
Education and Counselling
 Complication Identification and
Seeking Appropriate Help
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Medication Therapy for Diabetes Mellitus

3. Introduction
Diabetes mellitus (a chronic disease) can be managed
effectively with lifestyle modifications (eg. weight
reduction, diet and exercise) and use of pharmacological
agents. Having an understanding of these medicines will
allow physical therapists to identify medical emergencies,
manage treatment sessions, educate patients, and refer to
the proper healthcare provider when warranted.
Medication Therapy for Diabetes Mellitus 3

4. UNDERSTANDING ACTION, SIDE EFFECTS AND
CONTRAINDICATIONS OF MEDICATION THERAPY

5. UNDERSTANDING ACTION, SIDE EFFECTS AND
CONTRAINDICATIONS OF MEDICATION THERAPY
5
The American Diabetes Association's Standards of Medical Care in Diabetes Patients
specifies the pharmacological management of type 2 diabetes, all of which are discussed
below.
1. Metformin (Type: Biguanide)
2. Insulin secretagogues- Sulfonylurea
3. Insulin secretagogues- Non Sulfonylurea
4. Alpha glucosidase inhibitors
5. Thiazolidinediones (TZDs)
Medication Therapy for Diabetes Mellitus

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13. INSULIN THERAPY : PREPARATION AND ADMINISTRATION

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19. ROLE OF DIABETES EDUCATOR IN
EDUCATION AND COUNSELLING

20. 20
ROLE OF DIABETES EDUCATOR IN EDUCATION
AND COUNSELLING
Diabetes educators are a valuable asset to the
interdisciplinary team and are uniquely prepared to facilitate
change and implement processes and programs to improve
glycemic control.
The diabetes educator’s responsibility as a leader or member
of the interdisciplinary team includes input into patient
education, identifying barriers to care, care coordination and
transition, nutrition therapy, medication therapy and
management, hypoglycemia management and prevention,
monitoring glycemic control, and professional education. All
components of hospital care that affect inpatient glycemia
need to be considered in initiatives to improve inpatient care.
Medication Therapy for Diabetes Mellitus

21. COMPLICATION IDENTIFICATION AND
SEEKING APPROPRIATE HELP

22. COMPLICATION IDENTIFICATION AND
SEEKING APPROPRIATE HELP
The long-term complications of diabetes are
related in part to damage caused by high
blood glucose levels. In general, people with
glucose levels closer to normal have fewer
complications than those with higher levels.
Managing patient’s glucose requires ongoing
treatment and regular monitoring. It's also
important not to let patient’s glucose fall
below normal as this condition (called
"hypoglycemia") can lead to problems as
well.
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Medication Therapy for Diabetes Mellitus

23. CONCLUSION
Medical nutrition therapy and exercise, along
with pharmacotherapy, form the cornerstone
of an optimal management program for
patients with diabetes mellitus.
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Medication Therapy for Diabetes Mellitus

24. Thank you