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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High Blood Sugar Levels After Stopping Hydrocortisone. Have Diabetes And Thyroid Cancer. On BP Medication

I am not taking my hydrocortsor for my pituitary removal, but i notice for the last two weeks that my blood sugar is high. I am a type 2 diabetic, i take 75/25 insulin twice a day. I also had thyroid cancer, and take my meds once a day and high blood pressure, take meds once a day. Could not taking the steroid cause my blood sugar to rise?
Tue, 23 Apr 2013
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General & Family Physician 's  Response
Hello,
Yes ,you are right.
Steroids can cause blood sugar levels to rise. Also some people who did not have diabetes before may develop diabetes after taking steroids (this is called secondary diabetes and it often resolves after the steroids are stopped).

Blood glucose levels rise during steroid treatment because your liver produces more glucose than normal and your body is not able to produce enough insulin to cope with this increase.  
Steroids can also cause your body to become resistant to either insulin produced by your own body or insulin you may be injecting to control your diabetes.

You may need to increase your insulin dose while taking steroids.
If steroids are reduced or stopped your blood glucose may fall and you will  then need to reduce your dose of injection insulin.
Thanks
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High Blood Sugar Levels After Stopping Hydrocortisone. Have Diabetes And Thyroid Cancer. On BP Medication

Hello, Yes ,you are right. Steroids can cause blood sugar levels to rise. Also some people who did not have diabetes before may develop diabetes after taking steroids (this is called secondary diabetes and it often resolves after the steroids are stopped). Blood glucose levels rise during steroid treatment because your liver produces more glucose than normal and your body is not able to produce enough insulin to cope with this increase.   Steroids can also cause your body to become resistant to either insulin produced by your own body or insulin you may be injecting to control your diabetes. You may need to increase your insulin dose while taking steroids. If steroids are reduced or stopped your blood glucose may fall and you will  then need to reduce your dose of injection insulin. Thanks