Registered Nurse (RN) Endocrine Licensure Exam

Which statement by a patient on Glyburide is concerning?

1. "I will monitor my blood glucose regularly."

2. "I will consume no more than 8 oz. of alcohol per week."

3. "I will continue monitoring my diet and exercising."

4. "This medication stimulates insulin production from my pancreas."

The correct answer is: "I will consume no more than 8 oz. of alcohol per week."

The statement regarding the consumption of alcohol is concerning because Glyburide, a sulfonylurea, can increase the risk of hypoglycemia, especially when combined with alcohol. Alcohol can interfere with the body's ability to regulate blood sugar levels, particularly if the patient consumes it without eating or if it is consumed in larger amounts. While moderate alcohol consumption might be acceptable for some patients, the specific recommendation to limit intake to 8 oz. of alcohol per week could potentially lead to misunderstandings about safe limits and the necessary precautions one should take when on a medication like Glyburide. This communication helps in highlighting the importance of managing blood glucose levels carefully and understanding how lifestyle choices can significantly impact diabetes management. Additionally, patients are often advised to consult healthcare professionals regarding alcohol consumption while on blood sugar-lowering medications to avoid unexpected interactions. The other statements reflect safe practices for a patient on Glyburide: regular blood glucose monitoring, adhering to a proper diet and exercise, and understanding that the medication works by stimulating insulin production. These activities are critical in managing diabetes effectively and reducing the risk of complications.