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Sulfonylurea hypoglycaemia — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSulfonylurea hypoglycaemiaGPhC CRA

A 70-year-old patient taking gliclazide 80 mg twice daily reports two recent episodes of sweating and confusion before lunch. They have reduced their breakfast intake to lose weight. What would you advise the patient?

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

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Correct answer: D — Discuss hypoglycaemia prevention and refer for diabetes medication review

Gliclazide can cause hypoglycaemia, especially when meals are missed or reduced. The patient needs advice on prompt treatment of hypos, driving precautions, and prescriber review of dose and diet changes. Extra gliclazide would worsen hypoglycaemia. Opioids have no role in treating low glucose.

Reference: BNF; NICE CKS