DM medication side effects {Ans: - Metformin: decr B12 absorption, diarrhea, nausea, anorexia, abd discomfort, *lactic acidosis* (rare), metallic taste - Sulfonylureas (glyburide, glipizide): hypoglycemia, weight gain, GI upset, skin rashes, severe anemia, headache - Acarbose & Miglitol (alpha- glucosidase inhibitors): flatulence & diarrhea -Actos & Avandia (thiazolidinones): weight gain, URI, edema, anemia, hypoglycemia, *CHF*, possible liver damage, bladder tumors - Januvia, onglyza, nesina: stevens-johnson syndrome, pancreatitis, renal failure, abd pain - Trulicity, Tanzeum, Victoza (glucagon-like peptide-1..): pancreatitis, arthralgia - Invokana, Farxiga, jardiance (NA-glucose transport..): renal failure, ketoacidosis, hypotension, genital fungal infections - Glufast, Starlix, Prandin (Meglitinides): wt gain, hypoglycemia}advanced care planning {Ans: - Barriers: people not thinking about ACP - POA for healthcare: the person who is consulted when a patient is unable to self=determine care. can legally receive HIPPA protected info to make healthcare decisions for the patient.}DM Risk factors {Ans: -Type 1: Caucasians, environmental, autoimmune, and viral toxins, young age, congenital rubella, CMV, Adenovirus, Coxsackie B4, and mumps, high birth weight -Type 2: Men, native American, Alaskan, Hispanic, African American, obesity, sedentary life, family hx, BMI > 25, > 45yo, HLD, GD, having baby > 9lbs, smoking, HTN, PCOS}STIs {Ans: - Most common: