I am a type 2 controlled with diet/exercise/Januvia (thanks Myxel!).
I AM NOT asking for medical advise, just for your experience
Recently, I suffered cervical disc herniation c4 -c7. I was on a 4 day prednisone dosing - yes, I knew what to expect with my glucose as a result.
What I DID NOT expect was glucose jumping out of control with a cervical epidural containing cortisone. I am talking about jumps of 400 - 500 points! :trout: I was shocked to see this.
Well, it's been 6 days and I have been doing close to 60 units of R a day. I am going to ask for some NPH on Monday in addition to the R.
What has your experience been with diabetics and cortisone injections. I REALLY hope this is not going to be a permanent deal.
It doesn't matter where they put the steroids--BG values will soar. I've had pts whose BG rose because of cortisone injections into a joint or the foot.
Ask your doctor about using Novolog or Humalog instead of Regular. You'll get much better control. The NPH is a good idea--especially if your FBG is high. Don't rely on an a.m. dose of NPH to cover lunch. Most people need rapid acting insulin with every meal. Ask your PCP about starting with bedtime NPH first.
I'm so sorry you were injured and hope your recovery goes well. Glad to hear the Januvia was working for you.
Last edit by Myxel67 on Sep 24, '07