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Steroid-induced hyperglycaemia — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid-induced hyperglycaemiaGPhC CRA

A 71-year-old man with type 2 diabetes has started prednisolone 30mg daily for COPD. He usually controls diabetes with diet and metformin. He asks why his glucose readings are higher in the afternoon. What monitoring is required?

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

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Correct answer: C — Increase glucose monitoring and seek diabetes advice if readings remain high

Systemic corticosteroids can raise blood glucose, often later in the day when morning prednisolone is used. Patients with diabetes may need more frequent glucose monitoring and medication adjustment during treatment. Persistent hyperglycaemia or symptoms such as thirst and polyuria should prompt clinical advice.

Reference: BNF; NICE CKS