A 64-year-old woman with type 2 diabetes mellitus presents with predominantly postprandial hyperglycemia (fasting glucose 118 mg/dL, postprandial glucose 285 mg/dL). She initiates an oral medication that delays carbohydrate hydrolysis at the intestinal brush border. Within days, she develops marked bloating, flatulence, and abdominal distention. She denies diarrhea. Her vital signs are stable (BP 138/82, HR 88, RR 16, temp 37°C). Which of the following drugs was most likely prescribed?
- A)Empagliflozin
- B)Metformin
- C)Glyburide
- D)Semaglutide
- E)AcarboseGABARITO
Explicação
Acarbose inhibits intestinal alpha glucosidases, delaying carbohydrate absorption and lowering postprandial hyperglycemia. Fermentation of unabsorbed carbohydrates in the gut commonly causes bloating and flatulence. Ver explicação completa e trilha adaptativa →