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Sulfonylurea with missed meal — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSulfonylurea with missed mealGPhC CRA

A 76-year-old man taking gliclazide 80 mg twice daily says he sometimes skips lunch after taking his morning dose. He has had two episodes of sweating and confusion. What would you advise the patient?

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

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Correct answer: E — Explain hypoglycaemia risk and advise taking gliclazide with meals as prescribed

Sulfonylureas stimulate insulin release and can cause hypoglycaemia, especially with missed meals. Patients should understand meal timing, recognition and treatment of hypos. Recurrent episodes need prescriber review.

Reference: BNF