Healing Steroids And Diabetes
Common steroids, such as prednisone and cortisone, help to reduce inflammation and swelling and are used to treat a variety of ailments ranging from arthritis, allergic reactions, respiratory issues and sinus infections, lupus, some cancers, to muscle spasms.
These steroids, known as glucocorticoids, are different from testosterone-based anabolic steroids that some people use to build muscle. The name is derived from glucose + cortex + steroid and refers to the fact that they play a role in the regulation of glucose metabolism.
These steroids are found in oral pill or tablet form, a liquid or cream solution, nasal inhaler, injections, or even intravenous therapy , depending on the medical treatment in question.
For PWDs who may be experiencing complications like trigger finger or frozen shoulder, these oral and injected steroid medications are often a common treatment option. But they come with serious side effects to your blood glucose control.
Per Scheiner, injections tend to have the most significant impact on BGs, while topical creams are less likely to have a glucose effect, though you can find some scattered anecdotes of that happening around the online community.
We see it all the time. Often, people dont realize theres cortisone or another type of steroid in . Or, healthcare professionals believe there isnt enough to affect blood sugars, says Dr. David S. Bell, a longtime endocrinologist practicing outside of Birmingham, Alabama.
What Is High Blood Pressure Or Hypertension
High blood pressure is a condition based on the force of your blood pushing against the walls of your blood vessels while that blood is being pumped and circulated throughout your body by your heart.
When the force of your blood is too high and it qualifies as high blood pressure it can put your entire wellbeing in danger.
High blood pressure severely increases your risk of:
- heart attack
- sexual dysfunction
Conditions That Increase Risk For High Blood Pressure
Some medical conditions can raise your risk for high blood pressure. If you have one of these conditions, you can take steps to control it and lower your risk. Prehypertension Prehypertension is blood pressure that is slightly higher than normal. Prehypertension increases the risk that you will develop chronic, or long-lasting, high blood pressure in the future. If your blood pressure is between 120/80 mmHg and 139/89 mmHg, you have prehypertension. Learn more about how blood pressure is measured. You can take steps to control your blood pressure and keep it in a healthy range. Blood Pressure Levels Normal Systolic: less than 120 mmHg Diastolic: less than 80 mmHg At Risk Systolic: 120â139 mmHg Diastolic: 80â89 mmHg High Systolic: 140 mmHg or higher Diastolic: 90 mmHg or higher Diabetes mellitus also increases the risk for heart disease. Your body needs glucose for energy. Insulin is a hormone made in the pancreas that helps move glucose from the food you eat to your bodyâs cells. If you have diabetes, your body does not make enough insulin, can not use its own insulin as well as it should, or both. This will increase the blood sugar. Diabetes causes sugars to build up in the blood. About 60% of people who have diabetes also have high blood pressure.1 Talk to your doctor about ways to manage diabetes and control other risk factors.Continue reading > >
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Treating High Blood Pressure With Diabetes
While some people can improve their type 2 diabetes and high blood pressure with lifestyle changes, most require medication. Depending on their overall health, some people may need more than one medication to help manage their blood pressure. Most high blood pressure medications fall into one of these categories:
Blood Pressure In Young Adulthood And The Risk Of Type 2 Diabetes In Middle Age
Sherita Hill Golden, Nae-Yuh Wang, Michael J. Klag, Lucy A. Meoni, Frederick L. Brancati Blood Pressure in Young Adulthood and the Risk of Type 2 Diabetes in Middle Age . Diabetes Care 1 April 2003 26 : 11101115.
OBJECTIVEHypertension is known to accompany type 2 diabetes in middle age, but it is unknown how early in life blood pressure begins to rise among individuals who later develop diabetes. The objective of this study was to evaluate elevated BP as a long-term predictor of type 2 diabetes.
RESEARCH DESIGN AND METHODSWe conducted a prospective cohort study of 1,152 white male medical students in The Johns Hopkins Precursors Study to longitudinally assess systolic BP and diastolic BP from young adulthood through middle age in men who went on to develop diabetes. Incident diabetes was identified by self-report through mailed questionnaires verified by medical record review.
BP elevations precede the development of type 2 diabetes in middle age by 2025 years. Higher BP in the prediabetic state might contribute to the presence of vascular disease at the time of diagnosis of type 2 diabetes.
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Can Steroids Have A Lasting Effect On Blood Glucose
Three years ago, when I was 65, I was prescribed prednisone during a very bad cold. I have type 2 diabetes, which I controlled then with diet and exercise . After I started taking prednisone, my blood sugar shot up to 300 mg/dl, and it took me three weeks on Actos to bring it back down. My blood sugar has never been the same, and now I am on diabetes meds. Could the prednisone have caused a lasting effect?Continue reading > >
Can You Be Healthy And Have Low Blood Pressure
According to Luke Laffin MD, a preventive cardiologist at the Cleveland Clinic, There are many normal reasons for lower blood pressure, including younger age and small stature. Some people just have a genetic predisposition to low blood pressure.
Generally, if there are no symptoms, low blood pressure is not considered a problem. Though some people do naturally have blood pressure that tends to be on the low side and have no symptoms.
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What Should Your Blood Pressure Be
Readings vary, but most people with diabetes should have a blood pressure of no more than 130/80.
The first, or top, number is the “systolic pressure,” or the pressure in your arteries when your heart squeezes and fills the vessels with blood. The second, or bottom, number is the “diastolic pressure,” or the pressure in your arteries when your heart rests between beats, filling itself with blood for the next contraction.
When it comes to preventing diabetes complications, normal blood pressure is as important as good control of your blood sugar levels.
What Is The Meaning Of Hypertension Or High Blood Pressure
Let us first begin by understanding the meaning of hypertension or high blood pressure.
Hypertension or high blood pressure refers to a condition in which the flow of blood from the blood vessels and the heart occur with an abnormally high force. Over the period of time, the patient develops a host of complications and cardiovascular diseases.
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What Are The Signs Of Hypoglycemia
An individual may frequently wake up in the middle of the night as a result of nighttime hypoglycemia. In other instances, though, people may know if they experienced hypoglycemia during their sleep if they notice the following symptoms:
- Waking up with a headache
- Waking up in a sweat
- Getting unusual feelings of tiredness throughout the day
- Experiencing anxiety or heart palpitations
- Feeling confused, dizzy or weak
How Do I Prevent Hyperglycemia
- Exercise to help lower blood sugar. Work with your healthcare provider to make a daily activity plan.
- Follow your meal plan if you have one. Learn how carbohydrates impact your blood sugar, and work with your diabetes care team to find the best meal plan for you.
- Maintain a healthy weight.
- Dont smoke.
- Limit drinking alcohol. Alcohol can raise blood sugar levels, but can also cause dangerously low blood sugar levels. Work with your provider to determine how much is safe to drink.
Last reviewed by a Cleveland Clinic medical professional on 02/11/2020.
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How To Lower Your Blood Pressure
A lot of lowering your blood pressure is down to making positive lifestyle changes. But we know its not always that straightforward, and some people will need medication to help too.
- Try different ways to cope with stress
- Have less caffeine
Your healthcare team can support you with making these changes. Find out what healthcare checks and services you are entitled to.
Oral Health And Diabetes
People with poorly managed diabetes are at increased risk of tooth decay and gum infections. This is because the small blood vessels that help nourish your teeth and gums can become damaged. Poor oral care can cause the gums to become inflamed and loosen around your teeth. It’s also strongly linked with an increased risk of heart disease.To reduce your risk of teeth and gum problems:
- See your dentist regularly for a check-up.
- Brush your teeth at least twice a day and floss once a day.
- If you have dentures, make sure you brush your dentures and gums with a soft toothbrush.
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When Is It High Blood Pressure
If you have high blood pressure, it means that your blood is pumping through your heart and blood vessels with too much force. Over time, consistently high blood pressure tires the heart muscle and can enlarge it. In 2008, 67 percent of American adults aged 20 and over with self-reported diabetes had blood pressure rates that were greater than 140/90 millimeters of mercury .
In the general population and in people with diabetes, a blood pressure reading of less than 120/80 mm Hg is considered normal.
What does this mean? The first number is called the systolic pressure. It indicates the highest pressure exerted as blood pushes through your heart. The second number is called the diastolic pressure. This is the pressure maintained by the arteries when the vessels are relaxed between heartbeats.
According to the American Heart Association , healthy people over 20 with a blood pressure lower than 120/80 should get their blood pressure checked once every two years. People with diabetes need to be more vigilant.
If you have diabetes, your doctor may check your blood pressure at least four times each year. If you have diabetes and high blood pressure, the ADA recommends that you self-monitor at home, record the readings, and share them with your doctor.
How Steroids Affect Your Blood Sugar
Corticosteroids, or steroids for short, are a common medication prescribed for a multitude of ailments, but can often cause blood sugar issues for people living with diabetes.
If youve ever been prescribed a steroid, you may know that they spike blood sugars easily and quickly, and can lead to stubborn hyperglycemia for days on end.
In this article, I will describe exactly how steroids affect blood sugar and what you can do about it.
At the end of the article, I will also describe the rare situation where steroid therapy may actually cause type 2 diabetes by triggering a complication called steroid-induced diabetes.
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What Is Blood Pressure
Blood pressure is the pressure your heart uses to push blood through your blood vessels and around your body.
There are two numbers used to describe blood pressure and its measured in millimetres of mercury . Its written like this: 130/80mmHg. And youll hear your doctor say ‘130 over 80’.
The first number is the systolic pressure. This is the most amount of pressure your heart uses when beating to push the blood around your body.
The second number is the diastolic pressure. This is the least amount of pressure your heart uses when it is relaxed between beats.
Using 130/80mmHg as an example, the systolic pressure here is 130mmHg and the diastolic pressure is 80mmHg.
Our video below explains all about blood pressure, and how it affects people with diabetes.
What Is A Healthy Blood Pressure Level
Your blood pressure reading is reported with two different numbers: your systolic and diastolic readings.
According to the American Heart Association, this is the difference between the two numbers:
- Systolic blood pressure indicates how much pressure your blood is exerting against your artery walls when the heart beats.
- Diastolic blood pressure indicates how much pressure your blood is exerting against your artery walls while the heart is resting between beats.
- Low blood pressure: either number lower than 90/60 mm Hg
- Normal blood pressure: at or below 120/80 mm Hg
- Hypertension stage 1: at least two readings between 130/80 and 139/89 mm Hg
- Hypertension stage 2: at least two readings above 140/90 mm Hg
- Hypertensive crisis: readings above 180/120 mm Hg
- White coat hypertension: For some, going to the doctors office is so stressful it can cause high blood pressure just during the actual appointment. If you suspect this is the case for you, you can ask to be sent home with an at-home blood pressure cuff to determine what your normal day-to-day blood pressure is like.
If you suspect your blood pressure is near or above 180/120 mm Hg, visit your nearest emergency room immediately.
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How Common Is High Blood Pressure Amongst Diabetics
The level of high blood pressure risk goes up for people of African-Caribbean or Indian origin.
Furthermore, risk increases for those who are overweight, eat low fruit and vegetable levels, dont take much exercise or drink regularly.
How Is High Blood Pressure Caused
Too high blood pressure tends to result from a build up of cholesterol within the walls of blood vessels. This causes narrowing of the blood vessels, restricting blood flow and raising blood pressure.
Narrowed arteries raises the risk of heart problems and stroke if too little blood gets to these vital organs or if a blood clot blocks the blood flow to them.
Sometimes, other conditions can cause high blood pressure such as diabetic nephropathy, kidney or hormone problems.
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Exercise Food And Alcohol
For people with type 1 diabetes, maintaining the correct blood glucose level involves balancing how much insulin you inject, the amount of food you eat, and how much energy you burn during exercise.
Hypoglycaemia may occur if youve taken your dose of insulin as usual, but your carbohydrate intake is lower than normal or has been used up more quickly. This may happen if you delay or miss a meal or snack, dont eat enough carbohydrate, or exercise more than usual.
People with diabetes whove drunk too much alcohol, or drank alcohol on an empty stomach, can also get hypoglycaemia.
However, its not always possible to identify why a particular episode of hypoglycaemia has occurred, and sometimes it happens for no obvious reason.
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Prednisone And Low Blood Pressure
If you are being weaned off of prednisone and are taking medications to help lower your blood pressure, be sure to discuss the effect the changes in prednisone could have on your blood pressure and monitor for the symptoms of low blood pressure.
Symptoms of low blood pressure can include:
- Dizziness or feeling lightheaded
- Blurred vision
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What Are The Benefits Of Lowering Blood Pressure
There is now plenty of good evidence from studies that controlling blood pressure in people with diabetes reduces the risk of future complications.
A large research study called the UK Prospective Diabetes Study confirmed this. In this study, many people with diabetes were monitored over several years. The study found that those with well-controlled blood pressure had nearly a third less risk of dying from complications related to diabetes compared with those with poorly controlled blood pressure.
In fact, this study found that good control of blood pressure was even more beneficial than good control of the blood sugar level to reduce the risk of developing complications from diabetes.
Since this study, other studies have been undertaken which confirm these results.
High Blood Sugar: Diet And Exercise Advice
People with high blood sugar may be able to lower their levels through exercise and eating a nutritious, well-balanced diet with smaller portions.
If a personâs blood sugar level is higher than 240 mg/dl, it may not be safe for them to exercise because ketones may be present in the urine. Ketones are waste products that the body creates when it uses fats as fuel instead of glucose.
Exercising with ketones in the urine may cause blood sugar levels to increase even further. A buildup of ketones can also lead to a life threatening condition called ketoacidosis.
A doctor can offer advice on a safe treatment plan for lowering blood sugar.
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Which Blood Tests & Lab Values Does Prednisone Change
If youve already been following me for a while you may have seen the nutrients which are depleted by prednisone as shown below. It shows that prednisone depletes calcium, chromium, and other vitamins. Were going to focus on a few of those and show how prednisone changed my personal lab values.
Interactions With Diabetes Medications
Hyperinsulinemia and exogenous insulin may theoretically lead to hypertension through vasoconstriction and sodium and fluid retention . However, insulin can also promote vasodilation, and basal insulin compared with standard care was not associated with a change in blood pressure in the Outcome Reduction With an Initial Glargine Intervention trial of people with type 2 diabetes or prediabetes .
Sodiumglucose cotransport 2 inhibitors are associated with a mild diuretic effect and a reduction in blood pressure of 36 mmHg systolic blood pressure and 12 mmHg diastolic blood pressure . Glucagon-like peptide 1 receptor agonists are also associated with a reduction in systolic/diastolic blood pressure of 23/01 mmHg .
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