Managing diabetes during glucocorticoid therapy. How to avoid metabolic emergencies.
Although glucocorticoid therapy carries a risk of promoting or exacerbating hyperglycemia, there are currently no established medical guidelines for detecting or managing diabetes in patients starting such therapy. The authors use three case reports to illustrate a relatively simple strategy that can be used to manage preexisting and new-onset diabetes in the primary care setting.
Braithwaite
S S
SS
Rush Medical College of Rush University, Chicago, IL 60612, USA. sbraithw@rush.edu
Barr
W G
WG
Rahman
A
A
Quddusi
S
S
D000368:Aged; D015190:Blood Glucose Self-Monitoring; D003920:Diabetes Mellitus / Q000097:blood / Q000139:chemically induced / Q000175:diagnosis / Q000188:drug therapy*; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage* / Q000009:adverse effects; D006801:Humans; D006943:Hyperglycemia / Q000139:chemically induced; D007328:Insulin / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged
D005938:Glucocorticoids; D007328:Insulin