A 56-year-old man with a history of type 2 diabetes presents to his physician for a follow up. He complains of recurrent hypoglycemic reactions to his medications.
Which of these medications is most likely responsible for this patient’s hypoglycemic reactions?
A- Glyburide
B- Glucagon
C- Metformin
D- Acarbose
E- Rosiglitazone
Answer:
The only medication of the listed ones that its mechanism is to release insulin from the pancreas is glyburide. Release of insulin in type 2 diabetes causes hypoglycemic reactions. Other drugs lowers blood glucose through other mechanisms i.e. euglycemic as metformin or preventing postprandial hypoglycemia as acarbose.
The correct answer is A