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Medication Causes of Hyperglycemia
Aka: Medication Causes of Hyperglycemia, Medications Affecting Glucose Control, Medications Predisposing to Diabetes Mellitus
- See Also
- Hyperglycemia Causes
- Causes: Medications Predisposing to Diabetes Mellitus (with longterm use)
- Systemic Corticosteroids (e.g. Prednisone)
- Decreases Glucose uptake
- Thiazide Diuretics (e.g. Hydrochlorothiazide, Chlorthalidone)
- Inhibits Insulin release
- Hypokalemia mediated decreased Glucose control
- Risk of Diabetes Mellitus: 1 per 125 (for those using Thiazide Diuretic for at least 5 years)
- Risk increases to 1 in 17 if Impaired Glucose Tolerance is already present
- Statins (e.g. Atorvastatin, Simvastatin, Rosuvastatin)
- Decreases skeletal muscle Insulin sensitivity
- Risk of Diabetes Mellitus: 1 per 1000 (for those on Statin for 1 year)
- Atypical Antipsychotics (e.g. Clozapine, Zyprexa)
- Significant weight gain (via increased hunger)
- References
- (2014) Presc Lett 21(5): 28
- Causes: Miscellaneous medications
- Azathioprine
- Chemotherapeutic medications
- Cimetidine (Tagamet)
- Morphine
- Methadone
- Anesthetics
- Tranquilizers
- Causes: Cardiovascular medications
- Potassium-wasting Diuretics (suppress Insulin secretion)
- Thiazide Diuretics (Hydrochlorothiazide, Chlorthalidone)
- Loop Diuretics (e.g. Furosemide or Lasix)
- Calcium Channel Blockers
- Epinephrine
- Propranolol
- Diazoxide (Hyperstat)
- Causes: Neurologic medications
- Phenytoin (Dilantin, Suppresses Insulin secretion)
- Causes: Psychiatric medications (esp. Atypical Antipsychotics)
- Duloxetine (Cymbalta)
- Atypical Antipsychotics
- Clozapine (Clozaril) - higher risk
- Olanzapine (Zyprexa) - higher risk
- Risperidone (Risperdal)
- Quetiapine (Seroquel)
- Chlorpromazine (Thorazine)
- Causes: Endocrine medications
- Glucocorticoids or Corticosteroids (antagonize Insulin action)
- Thyroxine
- ACTH
- Causes: Infectious Disease medications
- Interferon
- Pentamidine
- Protease Inhibitors
- Causes: Recreational and Illicit Drugs
- Cocaine
- Alcohol
- References
- Stoner (2017) Am Fam Physician 96(11):729-36 [PubMed]
- Stoner (2005) Am Fam Physician 71:1723-30 [PubMed]