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Real members of DiabetesTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
July 8
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A DiabetesTeam Member

Good morning.
I was on prednisone, oral steroids for 5 months to help heal my lungs. My numbers were around 225 as a low daily and rose to over 400 daily.

I eat no more than 2-3 carbs per meal. 2 eggs is 1 carb, a cup of nonfat milk is 10 carbs, a deli slice of cheese is 1 carb, a serving of salad greens is 1 carb. So no dairy, no milk, no cheese, no sugar, no carbs.

Even after stopping prednisone, my numbers did not come down. My insulin resistance is sky high.

I asked for Jardiance, long acting insulin, and fast acting insulin.

Yes my numbers are better, but not great. I can live with my numbers in this range. But I need them better.

I will do some bloodwork this week. I have doctors appointments over the next 2 weeks.

Good luck to you.

July 9
DiabetesTeam

That sounds like a really rough experience — recovering from DKA is no small thing, and it's completely understandable to feel shaken by it. Hopefully things are starting to stabilize now.

Steroid shots, especially knee injections, are known to cause significant blood sugar spikes in people with diabetes. Knee injections Show Full Answer

That sounds like a really rough experience — recovering from DKA is no small thing, and it's completely understandable to feel shaken by it. Hopefully things are starting to stabilize now.

Steroid shots, especially knee injections, are known to cause significant blood sugar spikes in people with diabetes. Knee injections in particular tend to cause more noticeable blood sugar elevations compared to injections in other areas like the shoulder or wrist. Here's what happens when a steroid shot is given: the steroid acts like cortisol in the body and affects blood sugar in a few key ways:

- It increases insulin resistance
- It signals the liver to release more stored glucose
- It prevents fat and muscle cells from absorbing glucose properly

This combination can push blood sugar levels dangerously high, sometimes up to 500 mg/dL, which in some cases can trigger DKA. Other DiabetesTeam members have shared similar experiences. One member wrote that their blood sugar went from 110 to 180 in less than a week after a cortisone shot in their hip. Another said their sugars were "kinda out of control" after a neck injection.

Going forward, if a steroid shot is ever needed again, it's worth discussing your A1C levels and glucose patterns with your doctor beforehand so a management plan can be put in place. The location of the injection may also be worth discussing, since some areas cause less blood sugar disruption than others.

July 8

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