An older female adult who has diabetes mellitus takes glipizide (Glucotrol) and tells the nurse that her blood sugars have been higher than normal since she began using a vaginal cream for hot flashes. Which one of the following interventions is the best one for the nurse to implement?

Question

Quizplus · Accepted Answer

Glipizide is a medication that stimulates insulin production, which can lower blood sugar levels. However, some medications, like vaginal creams with estrogen, can interfere with insulin and raise blood sugar levels. Therefore, it is important to ascertain if the vaginal cream contains estrogen and if so, consider an alternative medication or adjust the dosage of glipizide as needed. Option A may be explored if the patient develops signs of infection or fever in the future, but it does not address the immediate concern. Option B is irrelevant to the situation. Option C may be considered if the patient reports a recent change in dietary habits, but it may not be the only reason for the high sugar levels.

An Older Female Adult Who Has Diabetes Mellitus Takes Glipizide