What medications can alter my blood glucose level?


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What is it?

What should I keep in mind with medications if I have
As we know from the specific content of Diabetes, this
disease is a chronic disorder that is detected by blood glucose levels above
normal limits. Therefore, people with type 1 diabetes need daily insulin
injections to control those blood glucose levels, without which they could not
Therefore, medication is, for people with diabetes, a
fundamental part of the treatment of their disease , which must be complemented
with other pillars, such as food, exercise and control of blood glucose levels.

However, and in the context of diabetes education so
important in this pathology, these patients should be aware that many of the medications
(with and without a prescription) indicated for the most common conditions can
interfere with their disorder and have an important impact buy your medicines
from Naturactin.
in your blood glucose levels.

When facing the treatment of a common disease, the diabetic
patient must take certain things into account when choosing the right
medication. Among them, we can mention:

Check the excipients
of the drug: this aspect will be detailed later.

Better, tablets, unless you have trouble swallowing. Syrups
may contain sugary excipients.
The sugar-free option is the most appropriate. Although
small doses of sugar do not pose a huge risk, it is safest to consult with your
pharmacist who recommends sugarless syrups.

The disease can alter blood glucose levels and bring them to
extreme limits, so the usual insulin measurements should be more constant and
How does insulin
interact with drugs?

There are several types of medications that can interact in
different ways with insulin, which, as we have said, is the pharmacological
basis in diabetes, both type 1 and type 2:

Medicines that decrease the effect of insulin (produce a
possible hyperglycemia): oral contraceptives; glucocorticoids; tricyclic
antidepressants; Some sympathetic-mimetic drugs.

Medicines that increase the effect of insulin by various
routes (possible hypoglycemia): MAOI antidepressants; some anticoagulants
(dicumarol); sulfonamides; salicylates; clofibrate; Chloramphenicol and

Medicines that alter the action or secretion of insulin
(antagonistic action and possible hyperglycemia): diuretics; diphenylhydantoin;
beta blockers; steroids; estrogens; indomethacin; isoniazid; nicotinic acid.

What types of common medications can I not take if I have

Specifically, when choosing a treatment for a common
disease, such as influenza or catarrhal processes, bumps, fever or inflammatory
processes, the diabetic patient must know what effects some very common
medications can cause for his health , which can alter the blood glucose level.

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Specifically, we can

Medicines that raise or lower blood sugar.
Paracetamol and other medicines for pain and fever: even
without sugar, cold medicines can make blood glucose levels unpredictable in
the short term. Therefore, it is recommended that the patient with diabetes
does not blindly rely on the readings of the Glucose Control monitor during an
acute illness, since these drugs, used in the presence of severe liver
disorders, interfere with certain devices. For example, at 3 hours after taking
1 gram of paracetamol, the monitor may show 60 mg / dl of more blood glucose.
Instead, it is better to be guided by blood glucose monitoring tests, while the
process symptoms last.

Corticosteroids: people with diabetes mellitus may require
their use for the treatment of asthma, skin problems, allergies,
conjunctivitis, tendinitis, etc. Therefore, it should be remembered are drugs
that can decompensate the glycemic control by hyperglycemia, so the pattern
should be adjusted for the duration of the corticosteroid treatment.

Acetylsalicylic acid:
it has been known to lower glucose levels.
Oral contraceptives:
may raise blood sugar.

Caffeine: increases the effects of adrenaline and glucagon,
which give way to the glucose stored in the liver and, therefore, increases the
level of blood glucose.

Phenylephrine and pseudoephedrine: in diabetic people with
vascular problems can cause constriction of blood vessels and cause adverse
effects. In addition, these decongestants are found in most over-the-counter
products and can raise glucose levels.

Ascorbic acid: it can
interfere giving an irreversibly high value in glycemic control.

Other frequent treatments that can alter the blood glucose
level are medications for high blood pressure, thiazide diuretics,
beta-blockers, statins for hypercholesterolemia, quinolones if systemic
infections appear, protease inhibitors (AIDS) , or anti-inflammatories (careful
if there is renal failure).
What excipients of medications should be considered for

In USA there is a standard, CIRCULAR No. 1/2018, which
regulates the mandatory declaration of various excipients of medicines in the
leaflet of said drug. Therefore, if consulted, you can know the warning of its
potential effect on our health.
Some of the most common excipients in any medication online and
that patients with diabetes should consider are:

Invert sugar: up to 5 grams are allowed in each tablet of
the medicine and a warning about its effect is included in the leaflet. If you
suffer from an intolerance to certain sugars, you should consult your doctor
before taking the medication. In addition, patients with diabetes mellitus
should take this into account because it assumes that the drug contains a
certain amount of a mixture of fructose and glucose per tablet, which may
affect their blood glucose levels. Finally, it is worth noting that it can
cause tooth decay.

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Galactose: is an excipient that is allowed in amounts of up
to 5 grams per dose. Patients with diabetes mellitus should take into account
the determined amount of galactose per dose contained in that medication is
broken down into certain grams of glucose.

Glucose and sucrose: up to 5 grams of glucose are allowed
per dose, warning the patient about this content.Lactose: respecting the maximum presence of 5 grams per
dose, the diabetic patient should know that each gram of lactose is broken down
in the body in half a gram of glucose and half a gram of galactose.Sweeteners are a broad group of excipients that are also present
in numerous medications:Saccharin (E-954): is the best known universally. Its use is
not limited in diabetes, but its excess distorts the taste of food, giving them
a metallic taste.
Aspartame (E-951): is a sweetener of protein origin that has
a great capacity to sweeten. Its consumption is allowed without limitations in

Fructose: it is a carbohydrate that is used as a sweetener
in diabetic preparations and in medications. In our body, it is partially
converted to glucose, which raises the level of blood sugar, provides calories
and can cause tooth decay.

Lactitol, maltitol (E-965), sorbitol (E-420) and xylitol:
are sweeteners that provide calories to be taken into account in the usual
diet, and even more so in that of a diabetic person.
Glycerol (E-422): a maximum of 10 grams per dose is allowed
in the medications and in any patient it can have effects such as headache,
stomach discomfort and diarrhea.

Other sweeteners such as cyclamate (E-952) (not recommended
in children) and acesulfame potassium are not usually present in medications.

If a medicine has this type of sugar as excipients, it is
important that the diabetic patient make an adjustment of his insulin
treatment, always advised by his specialist doctor.


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