II. Precautions
-
Blood Glucose will typically increase with Systemic Corticosteroids
- Glucose may also increase to a lesser extent with intraarticular or high potency Topical Steroids
III. Management: Short Corticosteroid course
- Most diabetes patients do not require significant changes to regimen when on short courses of Corticosteroids
- Risk of Hypoglycemia as steroid is tapered outweighs benefit of transiently increased regimen
- Indications for closer monitoring and tighter Glucose management on Corticosteroids
- Type I Diabetes Mellitus
- Uncontrolled or poorly controlled Type 2 Diabetes Mellitus
- Approach while on Corticosteroids
- Check Glucose for symptomatic Hyperglycemia (Blurred Vision, Urinary Frequency)
- Contact medical provider for Glucose >400 mg/dl in Type 2 Diabetes, >250 mg/dl in Type 1 Diabetes
- Consider temporary Basal insulin dose increase (10-15%) for significant Hyperglycemia on Corticosteroids
IV. References
- (2018) Presc Lett 25(3)
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Related Studies
| Concepts | Disease or Syndrome (T047) |
| English | Hyperglycemia steroid-induced, steroid induced hyperglycemia, steroid-induced hyperglycemia, hyperglycaemia steroid-induced, Hyperglycaemia steroid-induced |
| Dutch | hyperglykemie steroïd-geïnduceerd, hyperglykemie steroïdgeïnduceerd |
| French | Hyperglycémie provoquée par les stéroïdes |
| German | Hyperglykaemie, von Arzneimitteln verursacht, Hyperglykaemie, von Steroiden verursacht |
| Italian | Iperglicemia da steroidi |
| Portuguese | Hiperglicemia esteroidoinduzida |
| Spanish | Hiperglicemia inducida por esteroides, Hiperglucemia inducida por esteroides |
| Japanese | ステロイド誘発性高血糖, ｽﾃﾛｲﾄﾞﾕｳﾊﾂｾｲｺｳｹｯﾄｳ |
| Czech | Steroidy vyvolaná hyperglykemie |
| Hungarian | Steroid-által kiváltott hyperglycaemia |
