Seven Myths in Diabetes Medications BUSTED! Charmaine D. Rochester, PharmD, CDE, BCPS, BCACP University of Maryland School of Pharmacy Oluwaranti Akiyode, PharmD, CDE, BCPS Howard University College of Pharmacy MYTH 7: SUGAR FREE COUGH AND COLD PRODUCTS ARE THE ONLY EFFECTIVE Sample background. CHOICES FOR PATIENTS WITH DIABETES
MYTH 4: ASPIRIN IS FOR ALL ADULTS WITH DIABETES
MYTH 1: FLU SHOTS CAN GIVE YOU THE FLU! No, A Flu Shot Cannot Give You The Flu!
Sugar containing cough/cold medicine
Sugar-free cough/cold medicine
• Inactive Ingredients • High Fructose Corn Syrup • Sucralose/Saccharin/ Sorbitol
• Inactive Ingredients • Acesulfame potassium • Aspartame • Saccharin
The Use of Low-dose Aspirin For 10 Prevention Of CV Events In Patients Is Questioned
Flu Vaccines That Are Administered With A Needle Are Currently Made In Two Ways: Data Support Low Dose Aspirin Use In Patients With Known CVD (20 Prevention) – Heart Disease Or Stroke
A) Flu Vaccine Viruses That Have Been ‘Inactivated’ And Are Therefore Not Infectious, Or
B) No Flu Vaccine Viruses At All (Recombinant Influenza Vaccine)
FACT “Occasional Use of Sugar Containing Cough/Cold Medicines is Not Likely to Cause Hyperglycemia”
MYTH 6: CHLORPHENIRAMINE/APAP IS THE ONLY CHOICE FOR PATIENTS WITH HTN
MYTH 3: LANTUS CAN CAUSE CANCER
CONCLUSIONS Myth 7: Diabetes Patients Can Occasionally Use OTC Cough And Colds Myth 6: Chlorpheniramine/APAP Is Not The Only Choice For Diabetes Patients
Any Product That DOES NOT Contain A Decongestant Is An Appropriate Choice
Selection Should Be Based On The Patient’s Symptoms (Pain Vs. Allergy Vs. Cough)
Three Large, Independent Analyses From Five European Countries, The University Of North Carolina, And Kaiser Permanente Of California Compared Glargine Insulin With NPH Insulin And Found No Increased Risk Of Breast, Colorectal or Prostate Cancers
Myth 5: Co-enzyme Q10 Supplementation Does Not Decrease Statin Induced Myopathy Myth 4: Aspirin Is Only For Secondary Prevention Of CVD Myth 3: Lantus Does Not Cause Cancers Myth 2: Sliding Scale Insulin Is Ineffective Myth 1: Flu Shots Cannot Cause The Flu
“Chlorpheniramine = Allergy; APAP = Pain”
MYTH 5: COENZYME Q10 WILL REDUCE MUSCLE PAIN FROM STATINS
BIBLIOGRAPHY MYTH 2: SSI EFFECTIVE FOR OUTPATIENT DIABETES MANAGEMENT Sliding Scale Insulin is Neither Efficient nor Effective
Coenzyme Q10 (CoQ10) Levels Are Reduced In The Body By Statins Myopathy Is A Common Side Effect Associated With Statins It Is Theorized That CoQ10 Deficiency Contributes To Statininduced Myopathy FACT “Inconsistent Study Results Fail to Support Myopathy Reduction With CoQ10 Supplementation In Patients On Statin Therapy”
Sliding Scale Insulin Is A Historical Artifact Dating Back to the Days Of Urine Testing
Sliding Scale is Illogical in That it Reacts to Hyperglycemia, Rather Than Responding Proactively
SSI Assumes Insulin Sensitivity Is Uniform Among All Patients
SSI Causes Hypoglycemia And Recurrent Diabetic Ketoacidosis
1. 2. 3. 4.
Robitussin Drug Facts for Healthcare Professionals. http://hcp.robitussin.com/drugfacts. Accessed 6/29/14 2014 Shannon J, et al. Statin-associated myopathy. US Pharmacist. 2012;37:55-59 http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm390574.htm. Accessed 7/14/14 The ORIGIN Trial Investigators. Basal Insulin and Cardiovascular and Other Outcomes in Dysglycemia. N Engl J Med 2012; 367:319-328 5. Centers for Disease Control and Prevention. Seasonal Flu Shot. http://www.cdc.gov/flu/about/qa/flushot.htm 6. Bridges C, Thompson WW, Meltzer MI, Reeve GR, et al. Effectiveness and Cost-Benefit of Influenza Vaccination of Healthy Working Adults: A Randomized Controlled Trial. JAMA. 2000;284(13):1655-63 7. Gearhart JG, Duncan JL, Replogle WH, Forbes RC, et al: Efficacy of sliding-scale insulin therapy: a comparison with prospective regimens. Fam Prac Res J 1994; 14:313–22 8. Sawin CT: Action without benefit. Arch Int Med 1997; 157:489 Other references available on request:
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