MRCEM Notes

Meglitinides

Meglitinides (e.g. repaglinide, nateglinide)
  • insulin secretagogues
  • like sulfonylureas they bind to an ATP-dependent K+(KATP) channel on the cell membrane of pancreatic beta cells
  • often used for patients with an erratic lifestyle
  • adverse effects include weight gain and hypoglycaemia (less so than sulfonylureas)
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