Like "if there is I don't know what it would be. Jem's Drs were some of the best, and they really loved her. When it became necessary to give her an injection of cortisone I would think that they would suggest a way to minimize its effects on her blood glucose they would have suggested it. The only way to minimize the effects was to keep the dose low and stop when the symptoms which raised the need to take it were gone. It was a fine balancing act. The last couple years of her life seemed to be a constant balancing act. "