I was not aware of the drug interactions with lispro insulin and became aware when my 5 year old child developed hypos when we gave him ofloxacin for diarrhoea. So we realised that quinolone group should be avoided. Recently we are finding similar effect with rifaximin although all my searches revealed no drug interaction.I would like the members to let me know their experinces with other drugs so as all of us become wiser.I was not made aware of the drug interactions by my endo.
sorry for typo error experiences not experinces
Beside the side effect of hypoglycemia from the medicine, the illness itself may cause some hypoglycemia if the child is not taking sufficient oral intake to cover the insulin being given.Excessive diarrhea can cause significant electrolyte disturbances in children. Diarrhea in kids is usually left to run its course and with supportive care unless there is a diagnosed condition like food poisoning, c.diff colitis or travel to an undeveloped country.
I am not surprised your endo didn't let you know, he may not have been aware. But I would think that the pharmacy where you get your meds should have seen the cross between the insulin and the addition of the antibiotic. And even when you think the doc's are giving the info you need, always do your own homework, especially about meds.
I'm more aware of drugs that cause hyperglycemia, rather than hypos. So if you're interested in that, steroids are the main offender there.
I haven't run across anything that I can definitively blame for hypos, but I have found some a couple things that caused highs for sure!
The most awful offender is steriods, specifically in my case oral prednisone. I have been put on it twice, and I spent my days stuck at 300 and 400. (That first round particularly pissed me off because I specifically asked both the dr who prescribed it and the pharmacist who filled it if it should have any effect on my BG. Both said no.)
However, I had steriod injections in my thumbs (to treat a case of trigger thumb) a few months ago and I was ready for the worst, but my BG didn't even flinch! I also haven't seen any problems from steroid creams, but I use them so sparingly its hard to track.
A side issue to this can be that some drugs affect the accuracy of a BG meter reading, and CGMs are susceptible also. BG might be fine and unaffected by the medication, but the readings are out of whack making the whole situation pretty stupid. The only one I know off the top of my head is not to mix Tylenol/acetaminophen with a dexcom sensor, but I'm pretty sure its on the tiny folded insert in the box of test strips what the 'at risk' drugs are with that particular brand of meter/sensor.