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Steroid-induced hyperglycaemia — GPhC CRA MCQ

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HardEndocrine TherapeuticsSteroid-induced hyperglycaemiaGPhC CRA

A person with type 2 diabetes starts prednisolone 30 mg each morning for 2 weeks. Which glucose pattern should monitoring particularly target?

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

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Correct answer: APost-lunch and evening rises after the morning corticosteroid dose

Morning prednisolone commonly causes greatest hyperglycaemia later in the day, so post-lunch or pre-evening-meal readings are informative. Monitoring frequency and treatment adjustment reflect baseline diabetes therapy, steroid dose, duration and the actual glucose pattern.

Reference: BNF: prednisolone: https://bnf.nice.org.uk/drugs/prednisolone/