Diabetes & Steroids: Safe Use Under Watch

Steroid medications, often vital for treating acute conditions like asthma exacerbations or autoimmune disorders, can be safely managed in patients with diabetes. Dr. Rajiv Kovil emphasizes that these essential treatments, while known to increase blood glucose, pose manageable risks when prescribed for clinical necessity under strict medical oversight. Short-term steroid courses are generally preferred, though longer durations may be necessary with vigilant monitoring.

These medications elevate blood sugar by fostering insulin resistance and boosting glucose production in the liver. Patients may experience post-meal spikes, particularly with intermediate-acting steroids, and prolonged high blood sugar levels with long-acting variants. Long-term steroid use can also lead to side effects like weight gain and osteoporosis.

Route of administration impacts metabolic effects, with oral and injected steroids generally causing more significant glucose rises than inhaled forms. Patients must intensify blood sugar monitoring, especially after meals, and may require temporary insulin therapy. Urgent medical attention is advised if blood glucose persistently exceeds 250-300 mg/dL or if severe symptoms arise, underscoring the importance of individualized care and close collaboration with healthcare providers.