Avandia - Glossary

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Gangrene
Occurs when body tissues begin to die because of an inadequate blood supply and infection.
Gestational Diabetes
Diabetes that is diagnosed in pregnancy.
Glucagon
A hormone that is made by the pancreas. It is an antagonist to insulin and increases blood glucose levels.
Glucose
A type of simple sugar that is the source of energy for most tissues in the body.
Glucose Tablets
Chewable tablets that are made of pure glucose. Used in the treatment of hypoglycaemia.
Generic
Can refer to: the chemical name of a drug or a term referring to the chemical makeup of a drug as opposed to the brand name under which it is advertised.

Avandia Case Evaluation Form

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Why Was Avandia Prescribed?: *
What Dosage, in Milligrams?:
How Frequently Was Avandia Taken?:
Date Patient Began Taking Avandia:

Stopped Taking Avandia:

What Symptoms Were Experienced?: *
Heart Attack
Stroke
Heart Failure

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Other
PPH
If "Other", Please Describe:
How Long Was it From the Last Dose to the Problems Appearing?:
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    More Than 3 Days Don't Know
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YOUR CONTACT INFORMATION

First Name: *
Last Name: *
E-mail Address: *
Address:
City:
State: *
Zipcode:
Phone: -- xtn

CASE INFORMATION

Why Was Avandia Prescribed?: *
What Dosage, in Milligrams?:
How Frequently Was Avandia Taken?:
Date Patient Began Taking Avandia:

Stopped Taking Avandia:

What Symptoms Were Experienced?: *
Heart Attack
Stroke
Heart Failure

Death
Other
PPH
If "Other", Please Describe:
How Long Was it From the Last Dose to the Problems Appearing?:
    Within 1 Day 2 Days 3 Days
    More Than 3 Days Don't Know
Questions/Comments:
This form is secure and encrypted. More information about secure forms and your privacy here.