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Diabetes infection sick day — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsDiabetes infection sick dayGPhC CRA

A patient taking metformin, gliclazide and empagliflozin has a febrile urinary infection and is eating little. He asks for advice before the GP calls back. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Advise urgent clinical review, hydration and sick-day discussion including SGLT2 interruption

Acute infection with poor intake increases dehydration and ketoacidosis risk, especially with SGLT2 inhibitors. Sick-day management, hydration and monitoring should be discussed urgently with a clinician. Sulfonylureas can also increase hypoglycaemia risk when intake is low.

Reference: BNF; NICE CKS