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Taking other medicines: Some medicines affect the way glucose works in the body and this may influence the insulin dose. The most common medicines which may affect the insulin treatment are listed as follows. Tell a doctor, nurse or pharmacist if the patient took or have recently taken any other medicines, including medicines obtained without a prescription. In particular, tell a doctor if the patient used any medicine listed as follows that may affect blood sugar level.
If the patient took any of the following medicines, blood sugar level may fall (hypoglycaemia): Oral antidiabetic medicinal products, monoamine oxidase inhibitors (MAOI), beta-blockers, angiotensin converting enzyme (ACE) inhibitors, salicylates, anabolic steroids and sulfonamides.
If the patient took any of the following medicines, blood sugar level may rise (hyperglycaemia): Oral contraceptives, thiazides, glucocorticoids, thyroid hormones, sympathomimetics, growth hormone and danazol.
Octreotide and lanreotide may either increase or decrease blood sugar level.
Beta-blockers may weaken or suppress entirely the first warning symptoms which help to recognise a hypoglycaemia.
Thiazolidinediones (class of oral antidiabetic medicines used for treatment of type 2 diabetes mellitus): Some patients with long-standing type 2 diabetes mellitus and heart disease or previous stroke who are treated with thiazolidinediones in combination with insulin may develop heart failure. Inform a doctor as soon as possible if the patient experiences signs of heart failure such as unusual shortness of breath or rapid increase in weight or localised swelling (oedema).
