The nurse is reviewing data collected from a patient with a predisposition to developing insulin resistance. Which medications should the nurse identify as potentially causing this patient to develop diabetes?
Select all that apply.
1. nicotinic acid (Niacor)
2. acetaminophen (Tylenol)
3. levothyroxine (Synthroid)
4. furosemide (Lasix)
5. phenytoin (Dilantin)
Correct Answer: 1, 3, 4, 5
Many drugs impair insulin secretion, precipitating DM in people with predisposing insulin resistance. Examples are nicotinic acid, thyroid hormone, thiazides, and phenytoin. Acetaminophen (Tylenol) does not impair insulin secretion and precipitate diabetes mellitus in people with predisposing insulin resistance.
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