Prior to discharge, the nurse is reviewing the medications of a patient with diabetes. The nurse realizes that he will be going home on colesevelam, a bile acid sequestrant, and insulin
What patient education should the nurse provide in the discharge teaching for this patient?
a. The patient needs to monitor his blood sugar carefully, because colesevelam can cause hypoglycemia.
b. The patient needs to monitor his blood sugar carefully, because colesevelam can cause hyperglycemia.
c. The patient needs to take his insulin at least 3 hours before the colesevelam.
d. The patient needs to use an oral antidiabetic agent or agents, not insulin, with colesevelam.
ANS: A
Colesevelam can help control hyperglycemia in patients with diabetes, therefore hypoglycemia is a possible risk.
Hyperglycemia is not a risk for patients with diabetes who take colesevelam.
Insulin and colesevelam do not interact, therefore the insulin can be taken at the patient's preferred time or times.
Either insulin or oral antidiabetic agents can be taken with colesevelam.
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