@marymckeith When I contacted my endocrinologist when I was prescribed the prednisone, she adjusted my my insulin levels per the dose. The first month my #s were great, but this last month they have been up and down. Some days I struggle to stay under 200 and then there are days (less frequently) where I stay under 100 and get a lot of low alerts on my CGM. I haven't found any pattern that relates to diet, etc. I started at 20 mg and stepped down to 17.5 (10/morn and 7.5/eve) for the past two weeks. The joint pain has been minimal, at a 1-2 level at worst, mainly in shoulders and wrists. I am getting ready to step down to 15 today. The plan is for 10/morn and 5/eve. I will also be downloading my CGM readings and send to my endo and discuss how best to proceed and adjust my insulin levels. Will let you know how things go!