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Is Blood Sugar Level Of 395 A Cause For Concern?

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Posted on Tue, 17 Jan 2017
Question: My blood sugar is 395. Type 2. Had a full body steriod shot at 2
::00 p Ate soup and egg roll 3:00 pm. Blood sugar
was 267 at 6:00 pm At 9:00 pm was 395. Have not eaten since 3.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Information

Detailed Answer:
Hello,

Corticosteroids given systemically can definitely raise blood sugar.

I recommend you continue to eat a little bit (don't fast), but also take your blood sugar lowering medicine. If you take insulin, follow the sliding scale instructions your doctor gave you and increase the dose.

If you take an oral blood sugar lowering medicine, you will need to adjust that to compensate for the increased blood sugar. If a plan was not given for this, call your doctor's number and talk with him/her or the doctor on call for directions as they will have access to your records of what your blood sugars are normally, what meds you are taking and the dose.

The steroid may continue to raise your blood sugar tomorrow as well, so in addition to carefully lowering your sugars now, you will need to continue to monitor it.

If you have no sliding scale of insulin, and no written plan with oral blood sugar lowering medication for situations of marked elevation, and you can't get ahold of your doctor or doctor on call, then go to the urgent care clinic or ER. There they can also test your urine for ketones.

I hope this information helps.
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Is Blood Sugar Level Of 395 A Cause For Concern?

Brief Answer: Information Detailed Answer: Hello, Corticosteroids given systemically can definitely raise blood sugar. I recommend you continue to eat a little bit (don't fast), but also take your blood sugar lowering medicine. If you take insulin, follow the sliding scale instructions your doctor gave you and increase the dose. If you take an oral blood sugar lowering medicine, you will need to adjust that to compensate for the increased blood sugar. If a plan was not given for this, call your doctor's number and talk with him/her or the doctor on call for directions as they will have access to your records of what your blood sugars are normally, what meds you are taking and the dose. The steroid may continue to raise your blood sugar tomorrow as well, so in addition to carefully lowering your sugars now, you will need to continue to monitor it. If you have no sliding scale of insulin, and no written plan with oral blood sugar lowering medication for situations of marked elevation, and you can't get ahold of your doctor or doctor on call, then go to the urgent care clinic or ER. There they can also test your urine for ketones. I hope this information helps.