Glucose Lowering Drugs

Efficacy of GLD.jpeg

Class Name pattern (suffix/middle) Examples Quick mnemonic Main MOA
Sulfonylureas (SU) β€œβ€“gli–” or β€œβ€“gly–” + ends β€œβ€“ide” glimepiride, gliclazide, glyburide SUs make you GLeeful (GL in name) ↑ insulin secretion (Ξ²-cell)
Glinides (GLN) ends β€œβ€“glinide” repaglinide, nateglinide GLiNides are short & sweet Rapid ↑ insulin secretion (postprandial)
Alpha-glucosidase inhibitors (AGI) ends β€œβ€“bose” acarbose, miglitol Bose blocks brush border ↓ carb absorption in gut
Thiazolidinediones (TZD) ends β€œβ€“glitazone” pioglitazone, rosiglitazone GLITtering insulin sensitivity ↑ insulin sensitivity in fat/muscle
DPP-4 inhibitors (DPP4-I) ends β€œβ€“gliptin” sitagliptin, linagliptin, saxagliptin, alogliptin Don’t let the GLIP slip Prevents incretin breakdown
SGLT2 inhibitors (SGLT2-I) ends β€œβ€“gliflozin” empagliflozin, dapagliflozin, canagliflozin FLOw glucose out ↑ urinary glucose excretion
GLP-1 receptor agonists (GLP1-RA) ends β€œβ€“glutide” or β€œβ€“enatide” liraglutide, semaglutide, exenatide, dulaglutide GLUe to the gut ↑ insulin, ↓ glucagon, slow gastric emptying