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Thread: Do steroid eye drops effect blood sugar this dramatically?

  1. #1

    Default Do steroid eye drops effect blood sugar this dramatically?

    My daughter has an eyelid irritation and was given steroid eye drops. She took one drop in each eye and within an hour her blood sugar was in the 400's. She had been having a good day previously all low hundreds except about 2 hours prior had a low 200 which she corrected through the pump. I gave her a shot correction for the 400+ and added 2 units on top of the normal - she set a temp rate of 150%. 2 hours later she was still 400+. She changed her site and got another shot, this time double and set a temp rate of 180%. She started feeling nausea and we tested ketones - 1.1.

    Waited another 2 hours and was 300, gave another correction this time through the new site and then she tested about every hour overnight (she's a nightowl anyway since school is out) She steadily dropped through the night and steadily reduced her temp basal until she was at 110% and low 100's in the morning.

    I am wondering if the highs and ketones were from a bad site that started some time before the 200+ she had or if steroid eye drops can have that much effect. The site was only 2 days old.

    She needs to take care of this inflammation in her eye - it was there for several weeks and wouldn't go away just from wearing her glasses instead of contacts - before she went to the eye dr.

    I am leaning toward bad site although it looked ok when she changed it. She is convinced it was the steroids. She didn't want to try the eye drops because she knows what oral steroids do to her blood sugar. But I talked her into trying them.

    What do you think?
    Mom of 18 yo daughter dxd 3/02. Pumping Minimed

  2. #2

    Default

    steroids can definitely mess with blood sugar.. what steroid is she taking?
    K, 11yrs, dx 1/06 @35months
    Pumping Since 7/06 w/ MM
    PUMPING w/T:Slim 5/14
    Apidra
    Celiac dx 5/08
    Cgms-ing 11/07
    Dexcom G4 2/14
    Podding for 'tubing' breaks 4/11

  3. #3

    Default

    It is called prednisoLONE AC 1% eye drop. She was to take it 3 times a day, one drop each eye.
    Mom of 18 yo daughter dxd 3/02. Pumping Minimed

  4. #4

    Default

    Yeah they can, I had cateract surgery back in the fall and was on a steroid eye drop, i think it was called durazol? it totally screwed me up. we ask for a weaked steroid and I just took it more which seamed to help.... while on t5the durazol I would do a temp basel for a few hours after I took the drop. like 150% for 4hr or so, it was craizy but it worked or she could try an dhave it with food.... then just bolus for the meds too. hope her eye(s) get better!
    - Jess, age 18- dx with t1d 2/3/10
    PINGING!!!!!11/8/10
    DEXCOMING! with the G4
    Carteract free since 10/28/10


    Check out my blog - http://savedbythesnow.blogspot.com

    college student (Class of 2017) and a nursing major

  5. #5
    Join Date
    May 2009
    Location
    Georgetown, TX
    Posts
    2,139

    Default

    I am going to have to go against the grain and say that probably not.. the high ketones over a relatively short amount of time sound more like it was just a bad site than an effect of the steroids.
    Sarah T1 dx @ 20 (10/2000)
    mom to 3 non-D kids (6, 8, & 13)
    PINGing Apidra,
    with the occasional help of Dexcom

  6. #6

    Default

    I used prednisone eye drops after my LASIK surgery and noticed almost no change in bg.
    Type 1 adult, pumper
    Omnipod with Humalog + Dexcom

  7. #7

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    I don't know about steroid eye drops, but steroid pill have just about doubled my sons usual bg numbers. He has been running in the 200, to low 300s. No ketones though.
    Jenny
    Homeschooling mom,college student, future nurse
    19yr old son,
    15yr old son, diagnosed 12/6/10 age 13 with type 1 diabetes, MDI Novolog and Lantus. Tried the pump but felt it interfered with his freedom of movement and hindered his ability to tackle his brother, lol!
    13yr old daughter

  8. #8
    Join Date
    Jan 2006
    Location
    Merryland
    Posts
    6,049

    Default

    I haven't tried "targeted" steroid therapy like drops or shots for my son with diabetes as he hasn't needed it for anything. But I've used it myself and (long story) have reason to recently read up on taking oral steroids vs. a shot in the ear to recover lost hearing.

    One reason the literature mentions the shot is used is for people with diabetes - so that the steroid doesn't mess with the blood sugar.

    So my guess is that the eye drops wouldn't either.

    I think sometimes the stress on the body from illness (or asthma) or injury (surgery, sunburn, etc.) can cause high blood sugar - rather than the medication. Certainly oral steroids will cause a problem.
    Carol G.
    mom to William, age 11, dx'd 3/04 and started pumping 10/04 - Animas 1200. Animas Ping started 01/09; cgms Navigator start 4/6/09; RIP Navigator 9-1-11, Dexcom 7+start 10/11, G4 start 11/12.
    and mom to Rod (15) not D

  9. #9

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    My daughter is also currently on eye drops with steroids and antibiotic (tobramycin/sus dexameth) and her blood sugars have not been affected.
    Laura, mom to girlies
    P, 14, T1D dx@10 on 10.14.10, MM Revel-Novolog and Mios

    R, 17, T1D dx@14 on 10.18.10, Lantus/Novolog

  10. #10

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    I seem to see raised BGs with steroid nasal sprays. Nowhere near as significant as oral steroids tend to cause, I just need 0.1-0.2 extra units per hour.
    EMMA - 21
    diagnosed T1 6th july 2007
    pumping with MM522 since july 2008
    MM523 since august 2012
    MM CGMS since november 2009

    cetirizine hydrochloride for solar urticaria dx'd in 2002
    levothyroxine for autoimmune hypothyroidism dx'd 13th may 2010
    venlafaxine, mirtazapine, lamotrigine and diazepam for bipolar disorder
    studying psychology at university

    twitter @emm142

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