How to develop an information booklet on steroid-induced hyperglycaemia

Abstract

Glucocorticoid (steroid) drugs are frequently used to treat numerous diseases. Such drugs influence cell function, thereby stimulating gluconeogenesis and glycogen synthesis, which may subsequently lead to hepatic glucose production and insulin resistance. Anecdotally, patients have a poor understanding of the hyperglycaemic effects of steroid treatment, which may be compounded by a lack of available patient literature. Those who could benefit most from such information are in-patients receiving steroid treatment: the ability to understand and retain verbal information is often compromised for these people, due to their physical status and their lack of internet access. We developed and tested an illustrated booklet entitled ‘Understanding Steroids and Diabetes’ that explains, in general terms, the effects of steroids on blood glucose levels and gives possible treatment options. This booklet is suitable for primary or secondary care, for all patients with (or at risk of) steroid-induced diabetes. To date, over 2800 copies have been distributed.

Keywords:

• Steroids
• hyperglycaemia
• diabetes
• patient information