When caring for an elderly diabetic patient on hydrocortisone, which nursing intervention is most appropriate?

Monitoring blood glucose levels frequently is essential for elderly diabetic patients on hydrocortisone because glucocorticoids like hydrocortisone can significantly impact glucose metabolism. Hydrocortisone can lead to elevated blood sugar levels due to its effects on insulin secretion and action. For patients with diabetes, particularly the elderly who may have less physiological reserve and altered drug responses, frequent monitoring is crucial for timely adjustments in diabetes management, such as insulin or oral hypoglycemic agents.

Maintaining tight control of blood glucose levels in this context is important to prevent complications such as hyperglycemia, which can worsen both the diabetes and overall health status of the patient. By ensuring that blood glucose levels are regularly checked, the healthcare team can better regulate the patient's condition and adjust treatment as needed, thus promoting optimal health outcomes.