Which dietary modification is recommended to help prevent hyperglycemia in a client with Cushing's disease?

Which dietary modification is recommended to help prevent hyperglycemia in a client with Cushing's disease?

• A. Reduce carbohydrates
• B. Increase sodium intake
• C. Increase calories
• D. Increase caffeine intake

Answer: (A)

Excess cortisol from Cushing's disease raises blood glucose by driving liver gluconeogenesis and causing insulin resistance. To blunt hyperglycemia, the most effective approach is to reduce carbohydrate intake, especially simple sugars, to lower the glucose load after meals and help stabilize blood sugar. A balanced plan emphasizing lean protein, fiber-rich vegetables, and portion-controlled complex carbohydrates supports better glycemic control. Increasing sodium or calories would not prevent hyperglycemia and can worsen related issues, while increasing caffeine can raise glucose and stress hormone responses, making hyperglycemia harder to manage.

Excess cortisol from Cushing's disease raises blood glucose by driving liver gluconeogenesis and causing insulin resistance. To blunt hyperglycemia, the most effective approach is to reduce carbohydrate intake, especially simple sugars, to lower the glucose load after meals and help stabilize blood sugar. A balanced plan emphasizing lean protein, fiber-rich vegetables, and portion-controlled complex carbohydrates supports better glycemic control.

Increasing sodium or calories would not prevent hyperglycemia and can worsen related issues, while increasing caffeine can raise glucose and stress hormone responses, making hyperglycemia harder to manage.