AANP Adult Gerontology Primary Care Nurse Practiotioner Practice

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Which sulfonylurea is known for having a longer duration of action?

Chlorpropamide

Tolbutamide

Glyburide

Glyburide is recognized for its longer duration of action among the sulfonylureas. Sulfonylureas function by stimulating the pancreas to release insulin, and the duration of action can impact how frequently a patient may need to take the medication to maintain glycemic control.

Glyburide is particularly advantageous because it allows for sustained glycemic control throughout the day, which may be beneficial for patients who need a longer-acting option to manage their blood sugar levels. This characteristic can help reduce the risk of hyperglycemia during times when other shorter-acting medications might wear off.

In contrast, other sulfonylureas, such as Chlorpropamide and Tolbutamide, have shorter durations of action and may necessitate more frequent dosing to achieve similar therapeutic effects. Glipizide, although effective, typically has a shorter half-life compared to Glyburide, leading to a quicker onset and offset of action, which may not be suitable for every patient's management plan.

In summary, Glyburide's prolonged action makes it a valuable option for managing diabetes effectively throughout the day, while other sulfonylureas may have limitations in duration that could affect patient outcomes.

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Glipizide

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