Is blood sugar unstable on an empty stomach or after a meal?

In the process of treating diabetes, we may not only take blood sugar-lowering drugs, but also some drugs to treat other diseases. Some drugs can raise blood sugar, and some drugs can lower blood sugar. If blood sugar is unstable, you have to look for the cause from the medications around you.

Drugs that can raise blood sugar

Glucocorticoids

Common glucocorticoids can increase hepatic glycogen decomposition and reduce tissue decomposition and utilization of glucose, thus raising blood sugar. Therefore, the dose of antidiabetic drugs should be adjusted in time during the use of glucocorticoids or after stopping glucocorticoids.

thyroid hormone

Thyroid hormone can antagonize the effects of insulin. People with diabetes who use this type of drug replacement therapy should monitor their blood sugar more closely.

diuretics

Common diuretics can inhibit the secretion of insulin and increase blood sugar.

progesterone

Birth control pills can increase blood sugar and weaken the effectiveness of anti-diabetic drugs. Therefore, women of childbearing age with diabetes are advised to use other contraceptive methods. Consult a professional doctor specifically.

other:

Phenergan, chlorpromazine, perphenazine, trifluoperazine, etc. also have the effect of raising blood sugar and should not be combined with hypoglycemic drugs.

Drugs that lower blood sugar

beta-blockers

On the one hand, such drugs will lower blood sugar, and on the other hand, they will hide the symptoms of hypoglycemia, leading to severe hypoglycemia.

Sulfa drugs

When these drugs are combined with sulfonylureas, they can inhibit the renal excretion pathway of the latter, extend the half-life of the drug, enhance its hypoglycemic effect, and may cause severe hypoglycemic reactions.

aspirin

The risk of hypoglycemia is significantly increased when sulfonylureas are combined with aspirin.

Angiotensin-converting enzyme inhibitor (ACEI)

This type of drug can improve glucose tolerance and enhance the hypoglycemic effect of sulfonylureas, but it is extremely rare to cause hypoglycemia.

Octreotide can reduce the secretion of endogenous glucagon and reduce the need for exogenous insulin. There is a risk of hypoglycemia when combined with insulin.

Tangxiaonuo: If your blood sugar is unstable, check whether it is related to the above-mentioned drugs?