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Steroid induced diabetes and conflicting information...
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<blockquote data-quote="Dizzydog" data-source="post: 841913" data-attributes="member: 169322"><p>I've found for me personally any steroid dose change does not really effect my blood sugars/ insulin needs until the following day for some reason (although I know from various tests I am also fairly steroid resistant & need large doses)</p><p></p><p>I've also found that although certain aspects are beyond my control, much of the other advice applied to non-steroid diabetes is applicable to me so maybe I had something else going on anyway! Yes we will struggle with the high numbers rising through the day but the dietary / exercise advice etc all still helps & stops it going crazy high. With infection & higher steroids I seem to go through insulin like water & don't beat myself up too much/ let it run a bit higher for a short time. I also have hypos when I have asthma attacks but you'd expect the opposite & for sugars to go up but hey I like to be different obviously <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>I've found things are more stable now I'm on basal/ bolus but with my basal in the morning so in theory reduces the night hypos & I'm sure there is a certain amount of steroid involvement in my carb ratios as they also vary slightly with steroid dose changes. Today's numbers have been 4.2, 5.2 & 5.0 & after meals with in 2 mmol so really pleased with that, but as is the nature of the beast will have odd spikes & higher days. I'm just pleased to be out of the 20's and in single figures most days.</p><p></p><p>Good luck with the exercise I only wish I could but even consultant advised against it as I can barely walk to the end of the path without the asthma kicking off these days & much as they might think I love them I don't need to keep ending up at the hospital & a season ticket holder!!</p><p></p><p>I'm also still losing weight on insulin so at times I still think my body is just confused with what to try & deal with at what time!!</p></blockquote><p></p>
[QUOTE="Dizzydog, post: 841913, member: 169322"] I've found for me personally any steroid dose change does not really effect my blood sugars/ insulin needs until the following day for some reason (although I know from various tests I am also fairly steroid resistant & need large doses) I've also found that although certain aspects are beyond my control, much of the other advice applied to non-steroid diabetes is applicable to me so maybe I had something else going on anyway! Yes we will struggle with the high numbers rising through the day but the dietary / exercise advice etc all still helps & stops it going crazy high. With infection & higher steroids I seem to go through insulin like water & don't beat myself up too much/ let it run a bit higher for a short time. I also have hypos when I have asthma attacks but you'd expect the opposite & for sugars to go up but hey I like to be different obviously :-) I've found things are more stable now I'm on basal/ bolus but with my basal in the morning so in theory reduces the night hypos & I'm sure there is a certain amount of steroid involvement in my carb ratios as they also vary slightly with steroid dose changes. Today's numbers have been 4.2, 5.2 & 5.0 & after meals with in 2 mmol so really pleased with that, but as is the nature of the beast will have odd spikes & higher days. I'm just pleased to be out of the 20's and in single figures most days. Good luck with the exercise I only wish I could but even consultant advised against it as I can barely walk to the end of the path without the asthma kicking off these days & much as they might think I love them I don't need to keep ending up at the hospital & a season ticket holder!! I'm also still losing weight on insulin so at times I still think my body is just confused with what to try & deal with at what time!! [/QUOTE]
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