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Insulin for Type 2 - is it a slippery slope?
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<blockquote data-quote="Brunneria" data-source="post: 2308038" data-attributes="member: 41816"><p>Am delighted that they are both getting over Covid! Well done to both of them. Must be a huge relief for you all.</p><p></p><p>I have read of insulin being used in conjunction with courses of steroids in order to control the bg spikes the steroids cause.</p><p>It seems to be much more preferable than the awful bg swings they would get otherwise. It doesn't mean that they will require insulin for ever, unless there is something else going on.</p><p></p><p>Steroids are known (in some) to cause steroid induced diabetes, but that is usually after long term use of steroids. Months or years. A few days is a very different matter, and may have no long term effect at all.</p><p></p><p>There is a question in some of the news/literature that Covid may be triggering diabetes in some patients. But I am not sure whether this same process may be worsening diabetes in T2s who already have a degree of glucose dysregulation. I haven't seen any clear information on how this works, or the degree to which it happens, but it is always going to be a possibility.</p><p></p><p>Sorry not to be more definite, but it looks like it is boiling down to that old adage 'we are all different' both in our diabetes AND our experiences of Covid.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2308038, member: 41816"] Am delighted that they are both getting over Covid! Well done to both of them. Must be a huge relief for you all. I have read of insulin being used in conjunction with courses of steroids in order to control the bg spikes the steroids cause. It seems to be much more preferable than the awful bg swings they would get otherwise. It doesn't mean that they will require insulin for ever, unless there is something else going on. Steroids are known (in some) to cause steroid induced diabetes, but that is usually after long term use of steroids. Months or years. A few days is a very different matter, and may have no long term effect at all. There is a question in some of the news/literature that Covid may be triggering diabetes in some patients. But I am not sure whether this same process may be worsening diabetes in T2s who already have a degree of glucose dysregulation. I haven't seen any clear information on how this works, or the degree to which it happens, but it is always going to be a possibility. Sorry not to be more definite, but it looks like it is boiling down to that old adage 'we are all different' both in our diabetes AND our experiences of Covid. [/QUOTE]
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