lonestarnot
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Tue May-06-08 03:43 PM
Original message |
A question for diabetic type IIers. Did you know that a cortisone |
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shot to a joint will cause a rise in sugar levels? The Moms has it and it happened to her. It's starting to go back down now, but stange the doc would consider the effect and take measures to counteract the rise.
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CountAllVotes
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Tue May-06-08 03:45 PM
Response to Original message |
1. it will also cause you to become diabetic |
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I had an uncle that was taking prednisone every day for many years and he was a diabetic by the time he died.
In fact, any sort of STEROIDS should be avoided by people w/diabetes.
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N4457S
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Tue May-06-08 03:54 PM
Response to Reply #1 |
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...and the fact that he didn't know cortisone would dork her blood sugar creates doubts in my mind about his competency.
I'd find another physician.
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lonestarnot
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Tue May-06-08 04:02 PM
Response to Reply #1 |
11. Well she was having terrible arthie pain in her knee for a few months now. She felt she had to |
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do something or end up wheelchaired.
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HughMoran
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Tue May-06-08 05:16 PM
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26. A single shot of cortisone will give you diabetes? |
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I'm sorry, but that's the way I read it - I'm about to get a cortisone shot since my elbow is rather useless due to arthritis - I am pretty sure I won't be a diabetic afterwards.
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CountAllVotes
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Tue May-06-08 08:54 PM
Response to Reply #26 |
32. I rather doubt it if only once |
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Edited on Tue May-06-08 09:13 PM by CountAllVotes
but then again, I am not a doctor nor a physician.
I just saw what happened to my late uncle. He was never a diabetic and then began the prednisone for many years. He then developed diabetes as a side effect from all of the years of taking this drug. He dropped dead from a heart attack yet he was fairly active/physically fit, etc.
His diet really did suck though.
My own physician said diabetes + prednisone = death.
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HughMoran
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Tue May-06-08 10:28 PM
Response to Reply #32 |
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I am keeping up a pretty good diet since finding out that I probably have diverticulitis, so I hope I can keep kicking without another heath issue - at least for another 20 years or so :)
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pitohui
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Tue May-06-08 09:19 PM
Response to Reply #26 |
37. supposedly it has happened from just one dose but i think it's highly unlikely |
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you cannot just sit by and let your elbow be "rather useless" forever because of this risk, at some point you have to take a chance on improving your life
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HughMoran
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Tue May-06-08 10:22 PM
Response to Reply #37 |
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I hate that it's come to this point, but I need to make a choice. This is kind of nerve-wracking since both of my parents are on the edge of "old age diabetes".
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Lerkfish
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Tue May-06-08 03:46 PM
Response to Original message |
2. yep, I had a cortisone epidural into my spine and nearly bottomed out |
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right after. Although for me, it caused a DROP in blood sugar. I almost didn't get to a juicepack in time.
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lonestarnot
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Tue May-06-08 03:53 PM
Response to Reply #2 |
3. Strange. Yours dropped; her's rose. |
Lerkfish
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Tue May-06-08 03:56 PM
Response to Reply #3 |
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all I know is I almost passed out until got some fruit juice pack in me.
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lonestarnot
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Tue May-06-08 04:00 PM
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Lerkfish
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Tue May-06-08 04:03 PM
Response to Reply #10 |
12. thanks! luckily my wife was driving. |
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she drove like a maniac to get me home to the juice packs.
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lonestarnot
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Tue May-06-08 04:10 PM
Response to Reply #12 |
14. Thank God for wives egh? |
Lerkfish
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Tue May-06-08 04:11 PM
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16. yup! mine is the absolute best ever. |
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(no offense to other wives)
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pitohui
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Tue May-06-08 09:17 PM
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35. yeah, diabetes is a problem with insulin response |
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Edited on Tue May-06-08 09:18 PM by pitohui
sometimes your blood sugar is too low and you go into a diabetic coma and are at risk to die, sometimes your blood sugar is too high and your organs/eyes/kidneys are damaged but you're not like killed immediately
it's a bad feedback type disease, and bad feedback can swing in both directions
nothing strange about it at all if you think about it
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MonkeyFunk
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Tue May-06-08 08:59 PM
Response to Reply #2 |
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I had a spine epidural yesterday, and another scheduled for thursday.
I'll ask the doc about blood sugar.
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murphymom
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Tue May-06-08 03:53 PM
Response to Original message |
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A few years ago my doc gave me a course of prednisone for a bad outbreak of excema and it spiked my blood sugar up to 500. I'm guessing that individual reactions must vary quite a bit, because my doctor didn't really warn me about it, except to say it might raise my blood sugar "a little bit". Since then I've been leery of any of the cortisone family of drugs, unless they are used externally, like in a cream or ointment.
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lonestarnot
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Tue May-06-08 04:10 PM
Response to Reply #4 |
Warpy
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Tue May-06-08 03:55 PM
Response to Original message |
6. A small spike won't hurt her |
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and insulin dependent diabetics usually have a sliding scale for regular insulin coverage that will work during the spike.
Since the rise in serum glucose levels varies widely from person to person, likely the doc didn't bother trying to control it ahead of time. Hospitalized diet and oral medication controlled diabetics are different and can have their glucose levels lowered along with close observation to make sure they're not getting shocky.
Cortisone isn't the only thing that will raise glucose levels. Injury and illness will also do it.
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lonestarnot
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Tue May-06-08 03:59 PM
Response to Reply #6 |
9. She doesn't take insuline, just some pills. I've been calling her all |
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day to see how it's going and slowly going down. If it's going down, could she still get "shocky?"
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Warpy
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Tue May-06-08 04:22 PM
Response to Reply #9 |
19. Not unless she's fasting or she's taken extra pills |
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both of which are a very bad idea. If she's on her usual diet and her regular medication, she should be fine.
The early symptoms of low blood sugar (if she doesn't know them) are pallor, tremors and/or hunger, followed by confusion. If she feels like that, she needs to eat a protein and complex carbohydrate snack. Peanut butter on crackers was the favorite in the hospital, washed down by a glass of milk.
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rexcat
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Tue May-06-08 03:58 PM
Response to Original message |
8. Even though the cortisone is injected locally... |
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you will see systemic affects with steroids, including cortisone, and her glucose is going to go up. If your mom is just on oral meds it would also be more difficult to treat a transient rise in her glucose secondary to the cortisone injection. If she were on sliding scale insulin along with the oral meds it would be easier to control her glucose. There is not much that can be done if she is on oral meds. Adjusting the oral meds can be tricky and you don't want her to have a hypoglycemic reaction down the line so my it is safer not to adjust the oral meds if the rise in glucose is expected to be of short duration.
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lonestarnot
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Tue May-06-08 04:13 PM
Response to Reply #8 |
18. Makes sense now that the lovely experience is apparently over. |
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Sugar back down to 120 now.
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nadinbrzezinski
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Tue May-06-08 05:22 PM
Response to Reply #18 |
28. Also consider doing something physical to move |
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I had to take prednisone due to asthma early in the year... it jumped... I walked
I understand why she could not walk, but consider getting a table top exercise machine. That little thing will help
Me, I get actual physical effects... I get incredibly tired, so those two weeks were fun... NOT
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lonestarnot
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Tue May-06-08 06:48 PM
Response to Reply #28 |
31. I bought her one of those little bikes you can ride from any chair that |
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doesn't put pressure on your knees. I'll have to remind her to use it. Thanks nadinbrzezinski.
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nadinbrzezinski
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Tue May-06-08 09:19 PM
Response to Reply #31 |
36. You welcome and if she does this on a regular basis |
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it will also help to control her blood sugars
Exercise is a critical element of a diabetic self care
And yes, dad is diabetic and when it comes to exercise (beyond therapy) he is stubborn
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Horse with no Name
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Tue May-06-08 04:07 PM
Response to Original message |
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However, when I was in the hospital recently, I was getting high doses of solumedrol and my blood sugar rose very high. They were giving me insulin to bring it down--it is now back to normal.
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lonestarnot
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Tue May-06-08 04:11 PM
Response to Reply #13 |
17. solumedrol? Sorry I don't know what that is. |
N4457S
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Tue May-06-08 04:33 PM
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lonestarnot
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Tue May-06-08 04:44 PM
Response to Reply #20 |
Horse with no Name
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Tue May-06-08 04:35 PM
Response to Reply #17 |
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Edited on Tue May-06-08 04:35 PM by Horse with no Name
like cortisone.
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nadinbrzezinski
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Tue May-06-08 04:37 PM
Response to Original message |
22. Yes, and if you are given cortisone for a bad asthma attack it will also |
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throw your sugars out of whack.
When they gave me the zone, they warned me of it
Other effects
Weight Gain
and thirst...
The latter can be a distraction from the high blood sugars that will do that too
Giving cortisone is a balance between the temporary effect of hi blood sugar and quite possibly the life saving effects of the cortisone
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libodem
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Tue May-06-08 05:01 PM
Response to Original message |
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Edited on Tue May-06-08 05:01 PM by libodem
I wasn't clearly aware of that. Even one of my Dr's was surprised that my kidney function and blood sugars changed. My sugar is stable and normal. After steroid injections my sugar jumped to a high normal and I had to pee frequently.
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Clear Blue Sky
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Tue May-06-08 05:03 PM
Response to Original message |
25. Doesn't happen to everyone. |
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Side effects with any treatment. Have to weigh risks and benefits. Less chance of this with a shot into the joint than taking cortisone pills I presume.
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nadinbrzezinski
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Tue May-06-08 05:19 PM
Response to Reply #25 |
27. With diabetics you assume that will happen |
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Edited on Tue May-06-08 05:23 PM by nadinbrzezinski
anything, even the wind blowing by, can change that delicate balance
Hell, a diabetic gets a cold, not even a bad one, just the sniffles, and that blood sugar can get out of whack... hell a dental cleaning can do it to
My doc told me, granted I knew it, but he told me... and any doctor who gives any steroid to a diabetic should tell patient, family members and have an action plan. Usually if sugar goes above a certain threshold that is when you go... DOC!
i should add why... if it goes above a certain point insulin, even short term, might be in order
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meow2u3
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Tue May-06-08 06:21 PM
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29. I had to have IV cortisone while I was in the hospital last summer |
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...with a life-threatening asthma attack brought about by allergies. The cortisone caused my sugar levels to jump up to almost 400!! and my usual level is in the 140's fasting and the 180's after meals.
It was a matter of choosing between my blood sugar spiking--up to over 300--and being able to freakin' live. I was given insulin shots during my stay, and those shots brought my sugar down to about 250!
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MiniMe
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Tue May-06-08 06:41 PM
Response to Reply #29 |
30. Same thing happened to me about a year ago, but it was bronchitis not asthma |
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They were pumping me full of IV steroids. They started giving me insulin but it wasn't dropping my BS. The nurse tells me that my blood sugar is awfully high. I told her "what do you expect? They are pumping me full of IV steroids". If its a choice between being able to breathe and raising your blood sugar, they will treat the breathing first, then go after the blood sugar.
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pitohui
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Tue May-06-08 09:14 PM
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34. we're aware of it but sometimes there's nothing to be done |
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yes, as my husband is metabolic syndrome, he is well aware of the spike caused in sugar levels and how it can even potentially change your status to full blown diabetic but for some conditions a steroid is the only realistic option
what do you do then?
in an emergency situation my husband opted for the lowest possible does of the steroid and it still took weeks for his glucose levels to get back to normal
but what do you do? an emergency is an emergency by defintion
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