Drugs used to treat diabetes mellitus Commentary

Diabetes is common and the main clinical interest for anaesthetists lies in the maintenance of effective glucose homoeostasis. This is not, however, the focus of this question, which concentrates more on an understanding of intermediary metabolism. The range of drugs is expanding, but you will not be asked in any detail about newer agents such as the meglitinides and glitazones. You will, on the other hand, be expected to know about insulin and something about the well-established biguanides and sulphonylureas.

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