Table sugar can be used for treatment of hypoglycaemia secondary to all of the following drugs EXCEPT:
Acarbose: Alpha glucosidase inhibitor, stops the conversion of sucrose to glucose. Therefore using table sugar for treatment of hypoglycemia when patient is on acarbose is not useful. MOA: Located in the intestinal brush border, a-glucosidase enzymes break down carbohydrates into glucose and other simple sugars that can be absorbed. Acarbose and miglitol reversibly inhibit a-glucosidase enzymes. Major s/e are flatulence, diarrhea and abdominal cramping.
Acarbose
Metformin
Glipizide
Insulin
JIPMER 2017