What is the significance of monitoring glucose levels in patients on steroid therapy?

• A. To evaluate muscle strength
• B. To detect hypoglycemia
• C. To prevent hyperglycemia
• D. To assess kidney function

Answer: (C)

Monitoring glucose levels in patients on steroid therapy is crucial because steroids can induce hyperglycemia, leading to elevated blood sugar levels. Corticosteroids, such as prednisone, can cause insulin resistance and increase hepatic glucose production, which may result in increased blood glucose levels even in individuals who previously had normal glucose tolerance.

By monitoring glucose levels, healthcare providers can identify and address hyperglycemia early, adjusting the treatment plan as necessary, including lifestyle modifications or insulin therapy if required. This preventative approach is vital to mitigate complications associated with prolonged high glucose levels, such as diabetes or cardiovascular issues.

Evaluating muscle strength, detecting hypoglycemia, and assessing kidney function are also important aspects of patient care, but they do not directly correlate with the primary concern of hyperglycemia that arises due to steroid therapy. Thus, the focus remains on preventing hyperglycemia for optimal patient outcomes.