Many medications may cause changes in blood sugar, these include:



-alcohol
-aspirin and aspirin-like medicines
-certain antivirals for HIV or hepatitis
-certain medicines for depression, anxiety, or psychotic disturbances
-certain medicines for blood pressure, heart disease, irregular heart beat.
-chromium
-diuretics
-female hormones, like estrogens or progestins and birth control pills
-fenofibrate
-gemfibrozil
-isoniazid
-lanreotide
-male hormones or anabolic steroids
-MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate
-medicines for weight loss
-medicines for allergies, asthma, cold, or cough
-niacin
-nicotine
-NSAIDs, medicines for pain and inflammation, like ibuprofen or naproxen
-octreotide
-pasireotide
-pentamidine
-phenytoin
-probenecid
-quinolone antibiotics such as ciprofloxacin, levofloxacin, ofloxacin
-some herbal dietary supplements
-steroid medicines such as prednisone or cortisone
-sulfamethoxazole; trimethoprim
-thyroid hormones




Some medications can hide the warning symptoms of low blood sugar (hypoglycemia). You may need to monitor your blood sugar more closely if you are taking one of these medications. These include:



-beta-blockers like metoprolol and propranolol
-clonidine
-guanethidine
-reserpine

They need to know if you have any of these conditions:

-diabetic ketoacidosis
-kidney disease
-liver disease
-an unusual or allergic reaction to nateglinide, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding

Visit your doctor or health care professional for regular checks on your progress.

A test called the HbA1C (A1C) will be monitored. This is a simple blood test. It measures your blood sugar control over the last 2 to 3 months. You will receive this test every 3 to 6 months.

Learn how to check your blood sugar. Learn the symptoms of low and high blood sugar and how to manage them.

Always carry a quick-source of sugar with you in case you have symptoms of low blood sugar. Examples include hard sugar candy or glucose tablets. Make sure others know that you can choke if you eat or drink when you develop serious symptoms of low blood sugar, such as seizures or unconsciousness. They must get medical help at once.

Tell your doctor or health care professional if you have high blood sugar. You might need to change the dose of your medicine. If you are sick or exercising more than usual, you might need to change the dose of your medicine.

Do not skip meals. Ask your doctor or health care professional if you should avoid alcohol. Many nonprescription cough and cold products contain sugar or alcohol. These can affect blood sugar.

Wear a medical ID bracelet or chain, and carry a card that describes your disease and details of your medicine and dosage times.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.