Question

A client with diabetes mellitus visits a health care unit. The client’s diabetes mellitus previously had been well controlled with glybunde daily, but recently the fasting blood glucose level has been 180 to 200 mg/dL. Which medication, Wadded to the client’s regimen, may have contributed to the
hyperglycemia?
Pheneizine (Nardil)
Hydrocortisone or prednisone
Allopajrinol
Atenolol.

Which is the answer and why?

Answer 1

Diabetes milletus means increased glucose levels in the blood.

Some drugs may increase the glucose in the blood and other decrease the blood glucose levels.

In the given above question the drug that induce hyperglycemia is prednisolone because it decrease the effect of oral antidiabetic , insulin and potassium supplements by making the liver resistant to insulin.

The prednisolone continue to release sugar against insulin from pancrease .this continued release of suger triggers the pancreas to stop producing hormone.

And the other drugs pheneizine ,Allopajrinol and Atenalol have hypoglycemic effect.

So that answer is Hydrocortisone or prednisolone.

steriods induces hyperglycemia.