A 68-year-old woman with polymyalgia rheumatica on prednisolone 15 mg/day develops fasting glucose 9.8 mmol/L. Which is the most appropriate next step...

Question

A 68-year-old woman with polymyalgia rheumatica on prednisolone 15 mg/day develops fasting glucose 9.8 mmol/L. Which is the most appropriate next step?

Accepted Answer

Add metformin and continue steroid with taper

Answer

Stop prednisolone immediately

Answer

Switch to hydrocortisone

Answer

No change; recheck in 6 months

Answer

Start insulin now

mrcgp akt MCQ (SBA): Steroid-induced Hyperglycaemia

A 68-year-old woman with polymyalgia rheumatica on prednisolone 15 mg/day develops fasting glucose 9.8 mmol/L. Which is the most appropriate next step?