High sugar levels: Might medications be the cause?

Posted by josterb @josterb, May 14 7:58am

My husband are diagnosed with Transverse Myelitis 17 years ago. He uses many medication since then. His sugar levels are very high. Is it possible that the medication that he uses for his prognose have a influence on his high blood suger level? Can you help please.

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@cehunt57

@grrranny this is a fun conversation! I have had a Glucogon injection kit for emergencies and my husband was the one that used it on me. I think the idea is that if you can’t recognize (hypoglycemia unawareness) or treat your low, someone else can assist. I found it to be really expensive and expires after only 6 months. I decided that paying that much for something you hope you won’t need (in 6 months time) then having to get another one at that point (after 6 months) was a stupid waste. Usually I can catch the low and treat it (with some juice 15 - 30 grams carb) as I described in the previous post. There is another emergency treatment nasal spray product called Baqsimi. They come 2 to a package and have a longer shelf life than Glucogon. I tried that once. It was a really nasty experience (burns in your nose and feels like you are drowning) and I immediately spiked into the 300’s. I think I will stick with the juice or honey treatment.
Thank you for mentioning the Unisom Adhesive Remover. That is what I was thinking of but couldn’t remember the name.
You sound like you are more savvy when it comes to technology than I am. My husband gave me an Apple Watch. I didn’t want it. We gave it to our daughter. My husband has all things Apple. He has an app called Follow on his Apple Watch to share my blood sugar readings from the Dexcom G6 and gets alarms of my highs or lows. If I upgrade to G7 I hope that is available. When I started using the Omnipod 5 pump it wasn’t compatible with iPhone. So I had to have a separate controller. I think that is a change to look forward to soon. I heard from Dexcom and Omnipod that there are developments in the works. Ideally I hope to upgrade to Dexcom G7, have it work with Omnipod 5 ( to communicate blood sugar levels) for basal and bolus insulin delivery recommendations, and have both of them “playing nicely” with my iPhone. As you said, it is a lot to consider.

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Interesting about the Apple Watch. When I fell and broke my wrist a few years ago, my family insisted that I get some kind of "emergency alert" system. After discovering that most emergency alerts cost around $30 or so monthly (and can only be rented -- so that's like paying forever), I figured it would cost a lot less to just buy an Apple Watch for a few hundred that I could use in case of emergency. It can sense any "thumps" or "hard knocks" which prompts the watch to ask me if I've had a fall, so I feel pretty safe with it. I like being able to make and answer calls on it if my phone isn't with me, and to see the weather at a glance, too. Seeing my BG on my watch would be super-convenient.
By the way, since your Dexcom only lasts 10 days, does your doctor write the prescription for 3 sensors per month? And refills for one year?

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@grrranny

Interesting about the Apple Watch. When I fell and broke my wrist a few years ago, my family insisted that I get some kind of "emergency alert" system. After discovering that most emergency alerts cost around $30 or so monthly (and can only be rented -- so that's like paying forever), I figured it would cost a lot less to just buy an Apple Watch for a few hundred that I could use in case of emergency. It can sense any "thumps" or "hard knocks" which prompts the watch to ask me if I've had a fall, so I feel pretty safe with it. I like being able to make and answer calls on it if my phone isn't with me, and to see the weather at a glance, too. Seeing my BG on my watch would be super-convenient.
By the way, since your Dexcom only lasts 10 days, does your doctor write the prescription for 3 sensors per month? And refills for one year?

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@grrranny my Dexcom G6 prescription is 3 in a box (for a month) times 12 refills (for the year). Do you see your BG on your watch? My husband husband sees mine on his watch using the follow app.

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@cehunt57

@grrranny my Dexcom G6 prescription is 3 in a box (for a month) times 12 refills (for the year). Do you see your BG on your watch? My husband husband sees mine on his watch using the follow app.

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Thanks for the speedy reply, Cheryl. I will pass that prescribing info on to my doc when I do the switch.
I see a "Dexcom Follow" app on my iPhone, but nothing for the Libre -- so nothing on the watch, yet. I'm sure they'll come up with one just about the time I make the switch!

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@grrranny

@cehunt57 You are so good to answer my questions, and I really appreciate your sharing all your years of experience!
So sorry you had that bad low last night, and I hope you had a better bedtime tonight. Bad enough to have lows, but to have to deal with it at bedtime would be almost as bad as in the middle of the night! By the way, do you have a Glucogon injection kit for emergency lows? I've been wondering if it would a good idea for me to ask my doc for a prescription. Although, I'd probably have to use it on myself, due to hubby's having such severe essential tremor shaking.
I'm glad to hear the Dexcom has good adhesive, as does my Libre. I use the Unisolve adhesive remover wipes to make it a little easier to remove -- if that would help you any. It's also good to hear that the 5-minute gap between your Dexcom readings hasn't caused you any problems. I've been using the Libre for so many years, I was thinking it might be hard to get used to, but now that it's always reading so high, I'm tempted. It would be nice to have my readings on my Apple watch. too.
Did not realize that the Omnipod 5 did not work with the iPhone. I'll have to think about whether I want to carry a separate controller. So many things to consider...
Many thanks, and midsummer blessings to you!

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Hopefully Dexcom should have iPhone app by end of summer.
They told me it is now in the testing stags.

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@pjbaratta

Hopefully Dexcom should have iPhone app by end of summer.
They told me it is now in the testing stags.

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Thanks, Pat; do you mean Freestyle Libre 3 will have iPhone “Follow” app (that could also be used for Apple Watch) by end of summer? That would be great!

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@pjbaratta

Hopefully Dexcom should have iPhone app by end of summer.
They told me it is now in the testing stags.

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@pjbaratta and @grrranny the Dexcom G6 is already compatible with iPhone and Apple Watches. Your blood sugars can be tracked & / or shared using those devices and an app called follow. I’m not sure about compatibility between Libre Freestyle 3 and Apple devices. I have an endocrinology appointment coming up and plan on asking about this. I use Dexcom G6 and I’m thinking of upgrading to 7 but I might consider a Libre product.

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It's possible. I would Google each medication and see if they cause higher blood sugar. The only drug that I know for sure that does this is steroids.

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@cehunt57

@pjbaratta and @grrranny the Dexcom G6 is already compatible with iPhone and Apple Watches. Your blood sugars can be tracked & / or shared using those devices and an app called follow. I’m not sure about compatibility between Libre Freestyle 3 and Apple devices. I have an endocrinology appointment coming up and plan on asking about this. I use Dexcom G6 and I’m thinking of upgrading to 7 but I might consider a Libre product.

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i started out on Libre Freestyle 3. but i kept having problems with it. i couldn't keep the sensors on due to sweating. and the monitor would never keep a full charge. the batteries would always fail. i went through 3 of them within 6 months. now i use the Dexcom G7. i've found it more accurate and reliable. with a Glucose monitor as a backup for checking. d 🏳️‍🌈

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@qkatq

It's possible. I would Google each medication and see if they cause higher blood sugar. The only drug that I know for sure that does this is steroids.

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Steroids is the only medication i've been warned about for higher blood glucose numbers. none of my other meds i'm on. and that's 12 of them. d 🏳️‍🌈

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I want to make an update on how my Libre 3 is doing -- for @cehunt57 and everyone. They must have improved the accuracy of the sensors, because my last few have been reading much closer to my fingersticks. And they're not always higher; sometimes they are lower, as well -- just like a regular glucose meter when compared to other glucose meters.
Now, if they'll just make it so it can send the readings to my Apple watch as well as my iPhone..... I'm sure it's just a matter of time. It already sends the alerts to my watch, which is nice.

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