Diabetes Medications Section 4.3 – Free Nursing Pharmacology Review Course
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist
4.9 • 773 Ratings
🗓️ 20 April 2026
⏱️ 22 minutes
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Summary
This podcast episode provides nurses with a clear, practical overview of non-insulin diabetes medications, focusing on how to safely and effectively manage patients with type 2 diabetes. It reviews key drug classes such as metformin, glipizide, empagliflozin, and semaglutide, emphasizing mechanisms of action, common side effects, and important monitoring parameters. Nurses will learn how to recognize risks like hypoglycemia with sulfonylureas, genitourinary infections with SGLT2 inhibitors, and gastrointestinal effects with GLP-1 agents, along with key patient counseling points. The episode also connects medication selection to real-world considerations such as weight impact, cardiovascular benefit, and kidney function, helping nurses feel more confident in supporting individualized diabetes care.
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Transcript
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| 0:00.0 | I've spent over a decade teaching pharmacology and I hope you enjoy this review and find it helpful in your studies. |
| 0:07.6 | You can get full ad-free access to the Med-Ead-101 Nursing Pharmacology Review course at Med-Ead101.com slash nurse. |
| 0:17.0 | In addition, you'll get nearly 20 hours of ad-free on-demand video lessons, downloadable |
| 0:23.7 | slides, which you can study from, over 40 cheat sheets and study guides, and practice |
| 0:28.8 | questions to assess what you know. Whether you're preparing for exams or building real-world |
| 0:34.3 | confidence, this course is designed to teach you things that matter on the test |
| 0:39.5 | and in practice. Help support me in my mission to provide free, high-quality pharmacology education. |
| 0:48.1 | You can do that by going to MedEd 101.com slash nurse and checking out the med ed 101 nursing pharmacology review course. |
| 0:57.6 | All right. |
| 0:58.3 | So in this section, I'm going to get into diabetes medications. |
| 1:03.5 | Talk about pharmacology and, of course, some of the most important things that you're going |
| 1:07.6 | to need to know in practice as well as on any potential pharmacology and board exams. |
| 1:13.6 | First off, just threw this table in there, great little resource from Pearls. |
| 1:20.6 | First line pharmacotherapy, we're using metformin, we're using GOP-1s, and we're using SGLT2s. So that selection can vary |
| 1:31.3 | based upon compelling indications and other conditions that the patient has. But that's really |
| 1:38.8 | those three medications and medication classes, that's typically where we're going to start. |
| 1:46.2 | And so those are the ones that I'll go through here as well. |
| 1:50.1 | If you want to dig in more, certainly take the time, hit the pause button. |
| 1:55.3 | You can see some of the specifics on which medications are most beneficial where. Again, I'll cover some of that as we get |
| 2:03.5 | through the medications here. All right, starting with metformin. Historically, this has been the |
| 2:09.3 | first line agent by itself. We'd always start with metformin. That's changed in the guidelines. |
| 2:15.0 | Now we might consider an SGLT2 or a GLP1 agonist. |
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