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Doctors' Answers to "Frequently Asked Questions" - Hyperglycemia


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Hyperglycemia [posted 7/30/98]
Question: 65 year old white male with Micronase 5 mg qid awakens in the morning with BS of 287 to 300 before meal. Patient is also taking Lasix 40 mg qd, glucophage tab 1 tid, Pravachol 40 mg qd, lanoxin 0.25 mg qd, Secondary failure of medication or drug interaction?

Answer: No obvious interaction. What are the glucose reading the rest of the day? That is, are they also high - suggesting he needs another medication added to micronase or insulin. Or are they well controlled. If relatively low, I would check his glucose about 3 a.m. There are patients who experience hypoglycemia at this point in the morning and the morning rise reflects the bodies reaction to hypoglycemia. Further medications will only make this worse. If his 3 a.m. is high, he needs additional medications.

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