Management of Steroid induced hyperglycemia (Glucocorticoid Induced hyperglycemia)

Talk by Dr. Om J Lakhani on Management of Steroid induced hyperglycemia (of Steroid induced diabetes) / glucocorticoid induced hyperglycemia. This is very useful for patients with COVID19 and diabetes mellitus

[@qamerkramet4562]

Luv from Pakistan ❤

[@abinashjoshi7272]

Sir, while changing from IV to subcutaneous... Last 24 hour insulin required.. Is not it divided to half basal and half bolus and (1/3 for each meal)...... Rather than 80℅ of total dose given as basal and same as bolus

[@EndocrinologyIndia]

We start with 80 percent as per the guidelines and then increase the dose This is because of two things 1. We overlap some insulin 2. There is reduction in glucotoxicity that reduces the insulin requirement Then the value is kept 50 percent basal and 50 percent bolus which is divided one third into three bolus dosing

[@47jahanvichouhan60]

How to treat a non diebitic patient ...whose sugar is increasing due to only steriods Any dietary solution

[@KabirWorld]

I'm having same query.

[@sejalsanghani4079]

If it. Is on oha not critical can we give gliclizide if sugar is less than 200. And if diabetic pt. On oha becomes stabilized and comes out of icu hba1c on admission is good how to transition from sc insulin to oha. Kindly reply.

[@roopak9111]

How much units of regular insulin for a patient on 40 mg prednisolone sir? Also what dose of NPH for 100 g Hydrocortisone?