I have been taking an oral steroid all week. My bg has been running mid 300-450 ranges. I feel great and have been working 12 hour shifts. Will these extremely high numbers come down as soon as i finish this short term steroid?
Oral steroids, such as prednisone, can have a profound impact on diabetes control. Oral steroids affect blood glucose by increasing the amount of glucose released by the liver and making your muscle and fat tissues more resistant to the effects of insulin (increase insulin resistance). The effect of oral steroids is temporary and in most cases, the blood glucose returns back to baseline, or where it was before taking the steroid, after stopping the oral steroid. In the case of prednisone, usually the blood glucose is back to baseline the following day after stopping it. While on oral steroids, it is important to modify your diabetes treatment to prevent high glucose levels. If one is taking insulin, it is recommended to increase insulin dosages to prevent high glucose levels. It is most important to work with your healthcare provider in making adjustments to your diabetes medications to prevent high blood glucose associated with oral steroid use.