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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Cortisone Medicines Increase Sugar Level In A 45 Yo?

I am reaching 45 years suffering forn Bronchia Asthma. recently 3 days back detectd phimosis. I am Taking aerocort rotacaps and now detected pre diabetes. Fasting glucose level of 126 mg/ml and P P of 224. Is it due to aerocort rotacaps inhalation 3 times a day. from last 15 days i incresed this aerocort rotacaps due to Acute bronchitis, along with antibiotics AMPICILLIN 25o mg + Cloxacillin 250 mg. Is it due to cortisone effect on due to Hereditory pe diabetic diposition. My father is a Type 2 DM. No
Thu, 13 Feb 2014
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Diabetologist,  's  Response
Hi, welcome to our site. I am Dr Saumya Mittal.

Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query

There is a high probability that the raised sugars are due to the use of steroids. In fact raised sugars is a known side effect of steroids like cortisone.

And at a PPBS, i would hesitate in telling my patient that he has prediabetes, despite FBS of 126. I would suggest testing HbA1c. If this is high, you may well be a diabetic and in need of treatment accordingly (as per ADA, 2 of 3 should be high to declare diabetes)

You can meet your doctor to try and taper off the steroids and see if the sugars reduce too

I would also suggest a lipid profile

I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you.

Please do understand that some details could be extracted from a detailed history and examination.

Looking forward to your return query with the details asked so that I can help you further.
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Can Cortisone Medicines Increase Sugar Level In A 45 Yo?

Hi, welcome to our site. I am Dr Saumya Mittal. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query There is a high probability that the raised sugars are due to the use of steroids. In fact raised sugars is a known side effect of steroids like cortisone. And at a PPBS, i would hesitate in telling my patient that he has prediabetes, despite FBS of 126. I would suggest testing HbA1c. If this is high, you may well be a diabetic and in need of treatment accordingly (as per ADA, 2 of 3 should be high to declare diabetes) You can meet your doctor to try and taper off the steroids and see if the sugars reduce too I would also suggest a lipid profile I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)