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Should Insulin Dosage Be Modified For Blood Sugar Level Of 326?

Posted on Sat, 14 Feb 2015

Question: I was prescribed methylprednisolone and am a diabetic. My blood sugar is at 326. Should I increase my novo log 70/30

Answered by Dr. Binu Parameswaran Pillai (37 minutes later)

Brief Answer:
Yes. insulin dose to be modified

Detailed Answer:
Good day
Yes steroids surely increase blood glucose. How much methylprednisoline are you using and what dose and duration ? If you are only using it in the mornings, you can increase the morning dose of insulin. If it is more than once , then we may need to split the dose.
Regards
Binu

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (5 minutes later)

I am on day two of the 6 day pack. Can i stop the pred an increase novo Log?

Answered by Dr. Binu Parameswaran Pillai (7 minutes later)

Brief Answer:
Just increase insulin

Detailed Answer:
Please don't stop the methylpred. You may increase the morning dose by 4 to 5 units. Sugars will normalize a day or two after stopping methylpred. You can switch back on your original insulin dose then

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Binu Parameswaran Pillai (2 minutes later)

Thanks for your help!

Answered by Dr. Binu Parameswaran Pillai (3 minutes later)

Brief Answer:
monitoring glucose

Detailed Answer:
You are welcome. Please monitor the blood sugars regularly while on methylpred. Sugars tend to peak by noon. If its persistently high, then we need to further modify the dose of insulin .Please feel free to ask if you have any more questions. Wish you good health

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar