Severe rise in blood sugar

Posted by wadelmanpt @wadelmanpt, Nov 4, 2020

I am having to take a five day "blast" of 80 mg of prednisone for five days. AS a result my blood sugars have skyrocketed.

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I am taking metformin 1000 bid, jardiance 25mg…gliimiperide 2mg, and tradjenta 5mg. Can I safely increase my daily dose of any of these medications during this time?

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@wadelmanpt

I am taking metformin 1000 bid, jardiance 25mg…gliimiperide 2mg, and tradjenta 5mg. Can I safely increase my daily dose of any of these medications during this time?

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@wadelmanpt Prednisone does that if you have a high dose. I had a high dose for a while and went from no diabetes medications to having to test and inject insulin a few times a day until my prednisone dose was reduced substantially.

I would not increase any medications without checking with the doctor who is treating you. When I was put on the high dose of prednisone it was after a liver transplant so I was under the care of an endocrinologist at the hospital for that immediate need but generally I would go to my regular endocrinologist. If the doctor who prescribed the prednisone is at the same hospital as your endocrinologist they probably do consult with each other. I am presuming that you are diabetic and do have an endocrinologist.

Please call the prescribing doctor tomorrow and find out if he/she can handle this, or if he/she wants you to see a particular endocrinologist for this, or if you should see your regular doctor.
JK

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Prednisone is a steroid and will increase your blood sugar. Please address your concerns with your doctor.

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@wadelmanpt

I am taking metformin 1000 bid, jardiance 25mg…gliimiperide 2mg, and tradjenta 5mg. Can I safely increase my daily dose of any of these medications during this time?

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That is certainly a lot of meds for your diabetes. Before doing anything, consult your doctor.

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Changing your diet and counting carbs so you eat less of them will always help at home while you consult with your doctor about the meds. I believe pills are not the primary answer to diabetes unless you have other health issues that require medication. Try to stay active as much as you can and avoid unnecessary stress which can elevate blood sugar levels. Some meds will elevate blood sugar and the doctor needs to be consulted in some cases.
My doctor told me in the beginning of my diagnosis that Metformin didn't do very much so I don't rely on it for my primary improvement. Dorisena

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@dorisena

Changing your diet and counting carbs so you eat less of them will always help at home while you consult with your doctor about the meds. I believe pills are not the primary answer to diabetes unless you have other health issues that require medication. Try to stay active as much as you can and avoid unnecessary stress which can elevate blood sugar levels. Some meds will elevate blood sugar and the doctor needs to be consulted in some cases.
My doctor told me in the beginning of my diagnosis that Metformin didn't do very much so I don't rely on it for my primary improvement. Dorisena

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Last week I had a big rise in my fasting blood sugar in the morning and couldn't determine the cause. I continued my normal eating and the next day the number was back down, so I don't always know what makes a sudden rise in the morning after fasting. Going from 105 to 142 overnight is puzzling but not something to worry about for a one time event. Dorisena

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@wadelmanpt

I am taking metformin 1000 bid, jardiance 25mg…gliimiperide 2mg, and tradjenta 5mg. Can I safely increase my daily dose of any of these medications during this time?

Jump to this post

I assume that your primarily care physician is aware of (or prescribed) the prednisone; if not, you should talk to that office directly. However, I have had to take the typical steroid pack of prednisone and my blood sugar was close to 300 during that week before subsiding. I myself was instructed not to take additional doses of blood sugar medication during this time, and I would not advise taking any additional medication without your doctor’s instructions.

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I had a visit with my cardiologist last week. She saw an LBBB on the EKG. I take 500 mg of Metformin ER. All my blood levels and BP are under control. I had a quadruple cardiac bypass two years ago. The doctor suggested adding either Jardiance or Forsiga for my diabetes. I don't want to keep adding medications as side effects are always a matter of concern. I was told that adding one of those would help reduce my A1C and also help with my cardiac health. I have an ECHO scheduled for August. I would love to hear from folks who have had experience with either of those two medications. Thanks.

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@chi

I had a visit with my cardiologist last week. She saw an LBBB on the EKG. I take 500 mg of Metformin ER. All my blood levels and BP are under control. I had a quadruple cardiac bypass two years ago. The doctor suggested adding either Jardiance or Forsiga for my diabetes. I don't want to keep adding medications as side effects are always a matter of concern. I was told that adding one of those would help reduce my A1C and also help with my cardiac health. I have an ECHO scheduled for August. I would love to hear from folks who have had experience with either of those two medications. Thanks.

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Jardiance reduces your chances of a cardiac event. I take it. No side effects

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@wadelmanpt

Jardiance reduces your chances of a cardiac event. I take it. No side effects

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Thank you for your feedback.

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@dorisena

Changing your diet and counting carbs so you eat less of them will always help at home while you consult with your doctor about the meds. I believe pills are not the primary answer to diabetes unless you have other health issues that require medication. Try to stay active as much as you can and avoid unnecessary stress which can elevate blood sugar levels. Some meds will elevate blood sugar and the doctor needs to be consulted in some cases.
My doctor told me in the beginning of my diagnosis that Metformin didn't do very much so I don't rely on it for my primary improvement. Dorisena

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My cousin added a weekly shot of medication for her blood sugar because she does not eat as carefully as I do nor does she do much cooking, so the shot brings the numbers down and she is getting along well. I still prefer controlling diet and exercise as my main method of improvement so that if I need to take a medication for other issues, it is not as big a problem. The strict discipline in eating has made a big improvement in my general health in the long run. I am a happy eater as I choose a lot of variety which is satisfying. Dorisena

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@dorisena

Last week I had a big rise in my fasting blood sugar in the morning and couldn't determine the cause. I continued my normal eating and the next day the number was back down, so I don't always know what makes a sudden rise in the morning after fasting. Going from 105 to 142 overnight is puzzling but not something to worry about for a one time event. Dorisena

Jump to this post

Home glucose meters are required to be highly accurate, but the requirement is less than 100%, which means that rarely a reading will be inaccurate. Once in a great while I've tested significantly higher than I expected, I've then retested immediately and found the new test result to be significantly lower and in line with what I expected. (Of course we shouldn't just assume the meter is wrong about an unusual test…RETEST if in doubt.)

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