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Steroid-induced hyperglycaemia — GPhC CRA MCQ

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ModerateEndocrine TherapeuticsSteroid-induced hyperglycaemiaGPhC CRA

A patient with type 2 diabetes is prescribed prednisolone 40 mg daily for 7 days for COPD exacerbation. He normally takes metformin alone. What monitoring is required?

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

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Correct answer: B — Increase blood glucose monitoring during the steroid course

Systemic corticosteroids can raise blood glucose, especially post-prandial and later in the day. Patients with diabetes may need increased monitoring and a temporary management plan during steroid treatment. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: BNF; NICE CKS