Rationale of the Week | Why is JR’s blood glucose elevated?
For last week’s practice question, we quizzed participants on why JR’s blood glucose is elevated. The majority of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
Question: During a hospital stay, JR, who has no prior history of diabetes experiences elevated blood glucose levels.
Which of the following factors is the most likely cause of this hyperglycemia during hospitalization?
Answer Choices:
- Increased physical activity during recovery.
- Use of corticosteroids for inflammation.
- Intake of special snacks brought in by their family.
- Decreased fluid intake during the hospital stay.
Getting to the Best Answer
Answer 1 is incorrect. 1.13% chose this answer. “Increased physical activity during recovery.” Physical activity would most likely contribute to lowering glucose levels.
Answer 2 is correct. 92.66% of you chose this answer. “Use of corticosteroids for inflammation.” GREAT JOB. The vast majority of you chose this best answer. Steroids are notorious for increasing insulin resistance and contributing to hyperglycemia.
Answer 3 is incorrect. About 1.69% of respondents chose this. “Intake of special snacks brought in by their family.” While snacks may cause an increase in blood glucose, steroids pack a much more potent glucose raising punch.
Finally, Answer 4 is incorrect. 4.52% chose this answer. “Decreased fluid intake during the hospital stay.” While dehydration is often co-associated with hyperglycemia, it is not likely to cause extreme hyperglycemia. The better answer is steroid therapy as the cause of elevated blood sugars.
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
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