Drugs that Cause Hypoglycemia
- insulins.
- sulfonylureas: glipizide, glyburide, glimiperide, chlorpropamide, acetohexamide, tolbutamide.
- meglitinides: repaglinide, nateglinide.
- pramlintide plus insulin.
- possibly GLP-1 analogues.
Consequently, which antidiabetic drugs cause hypoglycemia?
Any sulfonylurea or meglitinide can cause blood glucose levels to drop too low (hypoglycemia). Metformin or the glitazones rarely cause hypoglycemia unless taken with insulin stimulators (sulfonylureas or repaglinide) or insulin injections.
Also, why do diabetics get hypoglycemia? For people with diabetes, low blood sugar (hypoglycemia) occurs when there’s too much insulin and not enough sugar (glucose) in the blood. Several factors can cause hypoglycemia in people with diabetes, including taking too much insulin or other diabetes medications, skipping a meal, or exercising harder than usual.
Secondly, what drugs can mask hypoglycemia?
Medicines that can cause drug-induced low blood sugar include:
- Beta-blockers (such as atenolol, or propanolol overdose)
- Cibenzoline and quinidine (heart arrhythmia drugs)
- Indomethacin (a pain reliever)
- Insulin.
- Metformin when used with sulfonylureas.
Which sulfonylurea causes the most hypoglycemia?
Glyburide, a second-generation sulfonylurea, is associated with hypoglycemia more often than most other sulfonylureas. Currently, glyburide is not recommended for patients with renal impairment (creatinine clearance of less than 50 mL/min) or severe hepatic impairment because of the risk of hypoglycemia.
17 Related Question Answers Found
What is dangerously low blood sugar?
You can get a condition called hypoglycemia when your blood glucose level falls below 70 mg/dL. It can harm you and make you feel shaky, weak, hungry, or dizzy. But some people don’t have any symptoms. If your blood sugar gets lower than 54 mg/dL, it’s dangerous and you need treatment right away.
Does exercise reduce hypoglycemia?
Recent studies indicate that anaerobic forms of exercise (i.e., resistance exercise/weight lifting, sprints, and high-intensity intervals) can attenuate exercise-related declines in blood glucose both during and after exercise in young, healthy adults with type 1 diabetes.
What can cause hypoglycemia in non diabetics?
Causes of hypoglycemia without diabetes Drinking too much alcohol. When a person’s blood sugar levels are low, the pancreas releases a hormone called glucagon. Medication. Anorexia. Hepatitis. Adrenal or pituitary gland disorders. Kidney problems. Pancreatic tumor.
Why do beta blockers cause hypoglycemia?
The mechanism responsible for β-blocker–induced hypoglycemia involves inhibition of hepatic glucose production, which is promoted by sympathetic nervous stimulation. Non-cardioselective β-blockers such as propranolol are more likely to cause hypoglycemia than cardioselective ones such as atenolol and metoprolol.
Is Hypoglycemia a sign of diabetes?
In people without diabetes, hypoglycemia can result from the body producing too much insulin after a meal, causing blood sugar levels to drop. This is called reactive hypoglycemia. Reactive hypoglycemia can be an early sign of diabetes.
What drugs help control blood sugar?
Your doctor might combine drugs from different classes to help you control your blood sugar in several different ways. Diabetes medications and insulin therapy Metformin (Glucophage, Glumetza, others). Sulfonylureas. Meglitinides. Thiazolidinediones. DPP-4 inhibitors. GLP-1 receptor agonists.
What can cause blood sugar to drop suddenly?
Possible causes, with diabetes But too much insulin or other diabetes medications may cause your blood sugar level to drop too low, causing hypoglycemia. Hypoglycemia may also happen if you don’t eat as much food as usual after taking diabetes medication, or if you exercise more than you normally would.
What medications can raise blood sugar levels?
Some common medications that can increase glucose levels: Valium and Ativan (benzodiazepines) Thiazide diuretics, which are taken as blood pressure medicine. The steroids cortisone, prednisone, and hydrocortisone. Birth control pills. Progesterone. Catecholamines, which include the EpiPen and asthma inhalers.
Can antibiotics cause low blood sugar?
A class of antibiotics called fluoroquinolones, used to treat illnesses like pneumonia and urinary tract infections (UTIs), has been shown to cause both very low and high blood sugar, a study published in October 2013 in the journal Clinical Infectious Diseases found.
How do beta blockers mask signs of hypoglycemia?
Beta blockers These medicines are designed to blunt the β-effect of adrenalin and related substances. Hence, if hypoglycemia occurs in someone who is using this type of drug, he/she may not experience the typical adrenergic warning symptoms such as tremor and palpitations. Again, the result is hypoglycemic unawareness.
Do beta blockers cause hyperglycemia or hypoglycemia?
In insulin-dependent diabetics, beta-blockers can prolong, enhance, or alter the symptoms of hypoglycemia, while hyperglycemia appears to be the major risk in noninsulin-dependent diabetics. beta-blockers can potentially increase blood glucose concentrations and antagonize the action of oral hypoglycemic drugs.
Can you skip insulin if you don’t eat?
A skipped meal alters the balance between food intake and insulin production, and can cause your blood sugar levels to eventually drop. “For diabetic people dependent on insulin or blood sugar–lowering medication, skipping meals can be more dangerous because it can lead to low blood sugar,” says Pearson.
Can metformin cause hypoglycemia in non diabetics?
Alone, metformin does not cause hypoglycemia or low blood sugar. However, in rare cases, you may develop hypoglycemia if you combine metformin with: a poor diet. strenuous exercise.
What happens when blood sugar drops below 50?
Anytime your blood sugar drops below 50 mg/dL, you should act whether you have symptoms or not. If your blood sugar level drops very low (usually below 20 mg/dL), you may lose consciousness or have a seizure. If you have symptoms of severe low blood sugar, you need medical care immediately.
Can amoxicillin cause low blood sugar?
Infection can antibiotics your blood sugar and. However, antibiotics will also amoxicillin cause a diabetes in your glucose levels.
How does alcohol cause hypoglycemia?
Alcohol consumption causes an increase in insulin secretion, which leads to low blood sugar (otherwise known as hypoglycaemia). This causes light headedness and fatigue, and is also responsible for a host of longer-term alcohol-related health problems.
Can metoprolol cause low blood sugar?
This medicine may cause changes in blood sugar levels. Also, this medicine may cover up the symptoms of low blood sugar, such as a rapid pulse rate.