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Hyperglycemia due to steroids in diabetes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Diabetes
Answered by

General & Family Physician
Practicing since : 2009
Answered : 674 Questions
User :   Hello.
I spent the night in hospital due to pins and needles in my arm. Anyway the upshot of it was I was given a short course of steroids to take 30mg once a day for five days. However on the second day just before dinner I took a blood glucose reading which was 22mg/l. I phoned my doctor who told me to stop taking the steroids. This was four days ago.The problem is that my blood sugar is still high i.e in the morning 10mg/l, three hours after dinner 16mg/l. I take 120mg of glilazide in the morning.
Should my levels be back to normal by now?
Thank you.
Doctor :   Hi,
Doctor :   Dr here
User :   Hello
Doctor :   May i know whether you have Diabetes ?
User :   yes I AM TYPE 2
Doctor :   ok,
Doctor :   the hyperglycemia caused by the steroids can stay for 24 to 48 hours, based on the dose you are on
Doctor :   since you are on Glicazide i expect it fade by morning for sure
User :   Is it likely that the steroids have upset the blood glucose control mechanism considering i stopped taking them four days ago?
Doctor :   yes, steroids are the cause
Doctor :   they will alter the sugar levels directly without affecting the control mechanisms
User :   How long will it take for my glucose levels to return as they were? or will i need a change in medication
Doctor :   no, need of chance medication
Doctor :   the effect will fade on its own by 24 to 48 hours
Doctor :   stopping steroid will suffice
Doctor :   yes, also depends on the duration of the steroid dosing
Doctor :   single dose can have effect for 24 to 48hrs
Doctor :   may i know the duration for which you were on the steroids ?
User :   30mg for 2 days
Doctor :   ok, i think your sugars should have come to normal by 2 to 3 days time
User :   is that 2 to 3 days from now?
Doctor :   no , 2 to 3 days from stopping the medicine
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