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Interactive diabetes case 9: Management of type 1 diabetes in a patient on glucocorticoid therapy – C2

Interactive diabetes case 9: Management of type 1 diabetes in a patient on glucocorticoid therapy – C2
Literature review current through: May 2024.
This topic last updated: Jun 26, 2023.

ANSWER — Correct.

The blood glucose values improve rapidly, approaching those observed before the start of prednisone (table 1). You ask the patient to contact you before each additional decrease in the dose of prednisone, anticipating the need to taper the insulin doses before breakfast and lunch to the doses in use before the start of prednisone.

Well done.

Management of patients with diabetes who are treated with a glucocorticoid is discussed in more detail elsewhere. (See "Interactive diabetes case 9: Management of type 1 diabetes in a patient on glucocorticoid therapy – Comment".)

Topic 4166 Version 6.0

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