Sun Feb 22 00:30:26 UTC 2026: ### Steroid Use in Diabetics Requires Careful Management, Experts Warn

The Story:
A recent article highlights the concerns and necessary precautions surrounding steroid use in individuals with diabetes. While steroids can be vital for treating various conditions like asthma exacerbations, autoimmune disorders, and even cancer, they are known to elevate blood sugar levels, causing anxiety for diabetic patients. Dr. Rajiv Kovil, a leading diabetologist, emphasizes that steroids can be safely administered to diabetic individuals under strict medical supervision, stressing the importance of close glucose monitoring and potential medication adjustments. The article underscores the need for careful management to mitigate the risks associated with steroid-induced hyperglycemia.

Key Points:

  • Steroids are often necessary for treating conditions such as asthma, allergies, autoimmune disorders, and cancer.
  • Steroids increase blood glucose levels by causing insulin resistance and increasing hepatic glucose production.
  • Short courses of steroids are generally safer, but longer courses may be unavoidable with careful monitoring.
  • Oral and injectable steroids have a greater impact on blood glucose than inhaled steroids.
  • Patients with diabetes should intensify blood sugar monitoring when initiating or modifying steroid therapy.
  • Consultation with a diabetologist is crucial before or immediately after starting steroids.
  • Patients should seek immediate medical advice if blood glucose persistently exceeds 250–300 mg/dL, or if severe symptoms occur.

Key Takeaways:

  • Steroid use in diabetic patients requires a delicate balance between therapeutic benefits and potential metabolic risks.
  • Close medical supervision, including intensified glucose monitoring and medication adjustments, is paramount for safe steroid administration.
  • Patients should be proactive in communicating with their healthcare providers regarding steroid therapy and any associated symptoms.
  • The route of steroid administration significantly impacts blood glucose levels, necessitating tailored management strategies.
  • The benefits of steroid treatment often outweigh the risks when medically necessary, provided appropriate precautions are taken.

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