Steroid diabetes
| Steroid diabetes | |
|---|---|
| Other names | Steroid-induced diabetes |
| Specialty | Endocrinology |
Steroid diabetes or steroid-induced diabetes is characterized as an unusual rise in
Causes
Steroid diabetes is caused by the use of glucocorticoids.[1]
Risk factors
Traditional risk factors for
Glycemic control can be impacted by other
There is an inverse correlation between serum magnesium levels and glycemic control, according to several studies.[5]
Although chronic
Diagnosis
The
Treatment
Like with all forms of diabetes, lifestyle modification, including exercise and dietary counseling to offer options that might lessen post-prandial hyperglycemia, is the first step toward improving glycemic control.[1]
Current guidelines may not adequately address this because the initiation of glucocorticoids can result in post-prandial hyperglycemia and the tapering of glucocorticoids can normalize glycemic control. The most accommodating option for patients is still basal bolus insulin therapy, which consists of three parts: basal insulin, prandial insulin, and supplemental correction factor insulin.[1]
References
Further reading
- Longaker, Lauren; Clements, Jennifer N. (2022). "Evidence-Based Management of Steroid-Induced Hyperglycemia in the Inpatient Setting". ADCES in Practice. 10 (1): 40–45. S2CID 244519159.
- Li, Jia-Xu; Cummins, Carolyn L. (May 18, 2022). "Fresh insights into glucocorticoid-induced diabetes mellitus and new therapeutic directions". Nature Reviews Endocrinology. 18 (9). Springer Science and Business Media LLC: 540–557. PMID 35585199.