Test on Diabetes mellitus

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Across
  1. 4. Long acting inhaled insulin preparation (approved by US FDA in 2014, withdrawn from market, by EMA in 2018)
  2. 5. The longest acting insulin, which can be mixed with other insulins too
  3. 7. This DPP4 inhibitor does not requires dose adjustment in renal failure patients, but it increases risk of heart failure
  4. 11. Insulin secretion will_______by cholinergic-muscarinic activation by Ach
  5. 12. Only oral ADA that has been demonstrated to reduce macrovascular events in type 2 DM
  6. 15. The most potent insulinotropic sulfonyl urea, which has property of sequestered in beta cells
  7. 16. This organ receives the highest concentration of endogenous insulin but not the exogenous insulin
  8. 17. A hormone, which is a “universal inhibitor”, inhibits the release of insulin from beta cells
  9. 18. Insulin acts on this specific receptor located on cell membrane of every cells (practically)
  10. 19. This injectable ADA used in type 2 DM and recently approved for management of obesity
Down
  1. 1. Secreted by beta cells of pancreas along with insulin that also helps in decreasing blood sugar
  2. 2. The only drug approved for treatment of both type 1 DM as well as type 2 DM (other than insulin)
  3. 3. Beta blockers can mask all the warning signs of hypoglycaemia, except this one
  4. 6. Accumulation of this substance in tissue is responsible for long term complications in diabetes (like end organ damage)
  5. 8. A long acting insulin, should never mix with other insulin
  6. 9. This insulin can be given intravenously
  7. 10. The most rapidly acting insulin analogue
  8. 13. This ADR of insulin occurs due to local reaction on subcutaneous fat around injection site
  9. 14. Anemia long term use of metformin can result in this adverse effect
  10. 20. All insulin or insulin analogues preparations available at neutral pH, except this one, which is at pH 4