Which dietary modification is most appropriate to help manage hyperglycemia in a client with Cushings disease?

Which dietary modification is most appropriate to help manage hyperglycemia in a client with Cushings disease?

• A. Low calcium
• B. Low carbohydrate
• C. Low protein
• D. Low calories

Answer: (B)

Hyperglycemia in Cushings disease comes from excess cortisol, which boosts liver glucose production and causes insulin resistance, so blood sugar tends to rise, especially after meals. Reducing the amount of carbohydrate in the diet directly lowers the glucose that's entering the bloodstream after eating, helping to keep blood sugar in a safer range. Protein and fat have a smaller immediate impact on post-meal glucose, and low calcium isn’t related to glucose control. While overall calorie control can aid weight and metabolic health, lowering carbohydrates specifically targets the glucose surge caused by cortisol, making it the most effective dietary modification for managing hyperglycemia in this context.

Hyperglycemia in Cushings disease comes from excess cortisol, which boosts liver glucose production and causes insulin resistance, so blood sugar tends to rise, especially after meals. Reducing the amount of carbohydrate in the diet directly lowers the glucose that's entering the bloodstream after eating, helping to keep blood sugar in a safer range. Protein and fat have a smaller immediate impact on post-meal glucose, and low calcium isn’t related to glucose control. While overall calorie control can aid weight and metabolic health, lowering carbohydrates specifically targets the glucose surge caused by cortisol, making it the most effective dietary modification for managing hyperglycemia in this context.