A patient who has insulin-dependent diabetes mellitus must take a glucocorticoid medication for osteoarthritis. When teaching this patient, the nurse will explain that there may be a need to
a. decrease the glucocorticoid dose.
b. decrease the insulin dose.
c. increase the glucocorticoid dose.
d. increase the insulin dose.
ANS: D
Glucocorticoids can cause hyperglycemia, so the insulin dose may need to be increased. Changing the glucocorticoid dose is not recommended. Decreasing the insulin dose will only compound the hyperglycemic effects.
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