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Type 2 Diabetes. Om Lupron. Insulin Response Irregular. Is This Normal?

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Posted on Fri, 12 Jul 2013
Question: I have a late onset type 2 diabetes, am on Lupron because of metastatic ca of the prostate; My insulin response is very irregular, sugar varying all over the lace on same diet and insulin. Is this common? Lupron has stopped my pain beautifully, so I am grateful - but curious.
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Answered by Dr. Shehzad Topiwala (1 hour later)
Lupron is not known to elevate blood sugars directly. However it suppresses the body's testosterone and there is medical literature suggesting low testosterone may contribute to diabetes indirectly via several mechanisms. If insulin is not controlling your diabetes in a steady manner then it may be worth considering oral pills if deemed safe by your endocrinologist. If this can be done then a simple regimen with pills can avoid the wide fluctuations you are experiencing with insulin. Insulin is a fair choice too but it needs to be managed with more finesse and complexity
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

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

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Type 2 Diabetes. Om Lupron. Insulin Response Irregular. Is This Normal?

Lupron is not known to elevate blood sugars directly. However it suppresses the body's testosterone and there is medical literature suggesting low testosterone may contribute to diabetes indirectly via several mechanisms. If insulin is not controlling your diabetes in a steady manner then it may be worth considering oral pills if deemed safe by your endocrinologist. If this can be done then a simple regimen with pills can avoid the wide fluctuations you are experiencing with insulin. Insulin is a fair choice too but it needs to be managed with more finesse and complexity