The number of people diagnosed with type 2 diabetes has really skyrocketed in the last twenty years. Add to that the number of prediabetics and those out there who have no idea that they will be diagnosed in the next few years. At least 50% remain undiagnosed! Research shows that one in four have a disturbance in the way their body metabolizes sugar.
While we are aware that genetics and obesity play a role in the rise of diabetes, some medications, including prescription drugs, can induce this condition in otherwise normal people.
Known offenders include:
- steroids
- morning after pill
- diuretics
- beta blockers
It is not unusual for impaired glucose tolerance to develop during treatment for hypertension, and the condition does not go away when treatment is stopped. Other medications can raise or lower blood sugar levels. The main diabetes offenders to avoid include:
Medications that lower blood sugar:
- Salicylates (aspirin) and acetaminophen (paracetamol) or Panadol can lower your levels, especially if taken in large doses.
- Phenylbutazone (nonsteroidal anti-inflammatory drug)
- Ethanol (in alcoholic beverages) especially when taken without food
- Sulfonamide antibiotics
- coumarin anticoagulant
- Trimethoprim (used for urinary tract infections)
Medications that increase blood sugar levels:
- Caffeine in large amounts
- Corticosteroids, such as prednisone, are used to block autoimmune diseases. Even when applied topically it increases its levels
- ephedrine
- Estrogen when the dose is high, modern oral contraceptives are usually not a problem
- Frusemide and thiazide diuretics often raise blood glucose causing potassium loss.
- Lithium
- Nicotinic acid in large doses. Used to lower cholesterol can cause a hyperglycemic reaction
- Phenytoin or Dilantin, a medication used for seizures, blocks the release of insulin
- Rifampicin (used in the treatment of tuberculosis)
- Medications that contain sugar
- Thyroid hormone at elevated levels, increases blood glucose by reducing insulin from the pancreas
If you find a sudden change in your blood sugar levels and have started a new medication, don’t hesitate to check with your health care provider.
Taking care of yourself and your type 2 diabetes is on your side, so learn which medications affect your blood sugar levels, find a diet that works for you, lose weight, and increase your physical activity. You are the CEO of your body!