August 26, 2010

BG and Steroids?

Hi there DOC. Anyone have experience with BG management and asthma steroids? One of the families that will be celebrating Infusion Set Awareness Week with tattoos asked me and as usual I am no help. Hopefully some of you can be.

Your comments are appreciated.

Also if you would be willing to be contacted directly by the family who needs a little help please email me at bennet(at)YDMV(dot)net and I will forward your email. Please don't post your email in a comment it may get picked by by a spam robot.


  1. I've used asthma inhalers that contain steroids. That's probably what they're talking about.

    I've also taken prednisone (a tablet steroid) for chest issues, that has profound effects on my BGs.

    Put them in contact with me.

  2. Our little princess is on flovent and xopenex.
    Her blood sugar usually rises 100-150 points within 30 minutes after a treatment.
    Her insulin sensitivity is 1/200, So I bolus 1/2 unit of insulin before every treatment. This does not prevent the spike completely, but it does help get her back in a good range before her next meal.

    On oral steroids, (like prednisone) she requires 2-4 times her normal amount of insulin (TDD) depending on the dose. It is very difficult to manage and should be done with help from your endo!

    Best of luck!

  3. My son is 15 and has had type 1 diabetes for 6 years. He's been on daily corticosteroids (Advair) for asthma for about two years. His endocrinologist was wary when we told him that we were going to treat my son's asthma this way, but I grew up seeing how much my father and brothers suffered with asthma, when albuterol inhalers were the only treatment. Also, I was amazed at how much better I felt when I began taking the precursors to Advair several years ago. For us, the Advair seems to be a non-issue in BG management. He takes it twice a day, so if it does raise his BG, we have long ago adapted to it. My son has never taken prednisone, so we have no experience with that.