I had to get a corticosteroid to heal some inflammation. Things like methylprednisolone and prednisone are examples of this type of steroid.
If you have ever used them before, they are notorious for causing BG spikes.
The doctor (not an endo) said he would not normally prescribe them to diabetics. I assured him I could handle it, I had to justify that I knew what I was doing, that I test a lot, blah, blah. He finally agreed.
Nice that he finally gave in and prescribed it. Anyway, I took it as a challenge.
The first day I saw a huge spike, so I made some adjustments and got it figured out. I amped up the basal insulin, the dosing right after the pills, and the dosing for food.
I wanted to throw down a nice flatline because the doctor was so worried.
Where’s the spike now, doc?
If you ever have to take these type of steroids, there is definitely a spike. You just gotta hit it hard with insulin! But I hate the idea of being told something would be too difficult for a diabetic. Fighting words!
BTW, I have to take insulin just for the steroid pill even if there is no food! Kinda crazy, but it works.