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Re: [IP] Extreme Highs from Cortizone? (trigger thumb)



Sammi,
Beware that all hormones and steroids interfere with each other, and insulin
is a hormone.
I daily take 40mg of Predisone, which is a oral type of Cortisone. It took
me two weeks to get my pump anywhere near close to covering the high blood
sugars. I could not believe how much insulin it was taking to cover it.  My
insulin requirements went up 300%.
In addition, the timing of my basils changed also.  Most people have their
highest basil rate timed to cover the dawn effect.  Taking Predisone twice a
day gives me two "false dawn effects.  I have to increase my basils now to
also cover the Predisone peaks.-James

----- Original Message -----
From: Vixen <email @ redacted>
To: <email @ redacted>
Sent: Wednesday, November 15, 2000 6:41 PM
Subject: [IP] Extreme Highs from Cortizone? (trigger thumb)


> Hey Listers,
>
> I finally got to spend a bit of quality time this morning with an
> orthaopedic surgeon to deal with the "trigger thumb" I asked the list
about
> a few months ago.  He did set me up for surgery over Christmas break (I
have
> a concert to play for in December, so I didn't want anyone chopping into
my
> hand until after that), & he went ahead & gave me a cortizone shot to ease
> the movement/pain until then.  Both he & the prep-nurse warned me that
this
> would possibly elevate my bg's for a day or so.
>
> My question, then:  How high is "elevated"?  This afternoon I felt high
> (drymouth, icky...) & checked around 4:00, got a reading of 588 - bleagh!
> Bolused 10 units, checked for ketones, made myself wait a while - at 5:00,
> the meter read "HI" - over 600.  Bolused 6 more units, laid down because I
> felt pretty wretched.  Got up at 6:00 - now at 518...bolused an additional
4
> units.  Anyone who's had a cortizone shot...does this kind of elevation
seem
> normal, or extreme?  If this kind of thing seems extreme, I'm considering
ER
> tonite if I can't get it down...but I don't want to do that if this is
just
> a normal range for that kind of med to push you into.  Does anyone have
> experience with this they are willing to share?
>
> Many Thanks,
> Sammi
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