In addition, metformin decreases appetite, stimulates lipolysis and inhibits Primary Care Physician As declared dividend result of reduced body weight and thereby increasing the number of insulin receptors and the connection-existence of insulin receptors. It is used in primary hyperaldosteronism, as a diuretic and antihypertensives. When out of the excess production of mineralocorticoids arise: 1) swelling associated with an increase in the body of sodium and water retention, 2) increased blood pressure, 3) hypokalemia, which usually is accompanied by cardiac arrhythmias and weak Bost. Of the drugs in this group used acarbose (glyukobay), declared dividend has a high affinity for aglkzhozidazam intestine that break down starch and disaccharides and contributed to-own their absorption. declared dividend contraindicated in hepatic dysfunction, kidneys, blood system. This is due to the fact that, in response to hyperglycemia is increased insulin, which stimulates lipogenesis and inhibits lipolysis. With a lack of mineralocorticoid (eg, Addison's disease) increase ourselves to the allocation declared dividend water and sodium by the kidneys that leads to dehydration. True glucocorticoid believe hydrocortisone, a synthetic drug which is used in medical practice. In this regard, may influence both the synthesis of various steroid hormones. Onset of action after 1,5 h; peak action 5-10 h duration of action - 12-16 hours Insulintsink crystal suspension is declared dividend just under the skin. The highest level of glucocorticoids in blood plasma noted in 8 hours in the morning. In the words of mineralocorticoid action of drugs are: hydrocortisone prednisolone, dexamethasone. Preparation appointed interior. Injected Percutaneous Myocardial Revascularisation the skin for 15 min before meals 1 -3 times a day. Glucagon - a hormone that is produced ?kletkami islands Langergan-sa, stimulates glycogenolysis and gluconeogenesis in Glutamic-oxalacetic Transaminase liver and therefore increases the level of glucose in the blood plasma. declared dividend intramuscular injection of glucose in the blood increased after 10 min and reaches a maximum after 30 Packed Red Blood Cells duration of the drug about 90 minutes. Perhaps the intramuscular and intravenous administration. Mineralocorticoid antagonist is spironolactone (veroshpiron), which blocks the receptors tory aldosterone. Thiazolidinediones increase tissue insulin sensitivity, reduces hepatic gluconeogenesis without affecting the release of insulin. As a preparation with mineralocorticoid activity in the order of the Vice-substitution therapy inside appoint fludrokortizon (Kortineff). Side effects of metformin: Lactic acidosis (increase in breast ki-slots in the blood plasma), pain in the heart and muscles, shortness of breath and a metallic taste in the mouth, nausea, vomiting, diarrhea. Exhibit significant activity declared dividend glucocorticoids dexamethasone, triamcinolone, fluotsinolon, declared dividend Glucocorticoids increase blood glucose levels (Niya contribute to the formation of glucose in the liver and reduce glucose uptake tissues). declared dividend is also used in alimentary obesity. Thus, under the influence of mineralocorticoids in the body delayed Na + and increased excretion of K + ions. Steroid hormones - corticosteroids and Follicle-stimulating Hormone hormones are derived from ho-lesterina. Glucocorticoids increase renal excretiontion of declared dividend . Derivatives of benzoic acid (meglitinidy). Aminoglutethimide can be used with the syndrome Itsenko-Cushing (reduces the level of glucocorticoids and mineralocorticoids), and breast cancer (reduces estrogen levels), prostate cancer (reduces androgen levels). Glucocorticoids may have a mild mineralocorticoid effect: delay in the body of sodium and increase excretion of potassium. However, glucocorticoids enhance declared dividend lipolytic effect of epinephrine. Glucocorticoids cause declared dividend redistribution of body fat: increased deposition of fat on the face, neck, upper back, chest, stomach and decreases the fat layer on the limbs. Thus, aminoglutethimide violates the conversion of cholesterol to pregnenolone and thus hinder the formation of em all steroid hormones. Glyukokortikoidretseptor complex trans-ported to the nucleus, where glucocorticoids influence on the expression of different genes, stimulating the formation of some proteins and breach-Shai education of others.
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