New to Forum - Hydrocotisone Enema and Blood Sugar Question

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

Joey's Mom
New Member


Date Joined Aug 2011
Total Posts : 2
   Posted 8/25/2011 6:14 PM (GMT -6)   
I am a 62 year old woman, 5'10" and weight 139 pounds.  I maintain my weight with a low carb diet.  I have always had perfect blood work diabetes-wise.  I have a family history of diabetes on my mother's side of the family.  I also have ulcerative colitis.  I have been flaring and bleeding rectally for appx 3 months.  Initially, my insurance denied the Rowasa enema (no cortisone), so my GI doc prescribed a hydrocortisone enema.  It stopped my colitis symptoms cold.  I used it for 5 days and then started bleeding rectally again, so I had to stop using it last Wednesday.  My insurance finally okayed the Rowasa enema and I started to use that.  The cortisone enema also caused me to gain 7 pounds in 5 days (a side effect I had read about), which I have since lost.
 
Now, here's the reason that I am posting on this forum.  Last Sunday, 3 days after discontinuing the hydrocortisone enema, I went to the urgent care center for a bladder infection.  The doctor told me that I was spilling sugar into my urine and did a blood test.  My blood sugar was 187!  He also did an A1C blood test, which my primary doctor won't get until sometime this week or next. 
 
The urgent care doc told me that the cortisone enema could have "unmasked" the diabetes.  "Unmasked" doesn't sound too positive to me.  Does this mean that I now have diabetes or did I have the symptoms solely because I still had cortisone in my system and as soon as it's out (how long does that take?), I'll go back to being non-diabetic again? 
 
Thanks ahead of time for any responses!
 
 

Judy2
Forum Moderator


Date Joined Mar 2003
Total Posts : 9484
   Posted 8/25/2011 6:24 PM (GMT -6)   
Sadly, steroids do raise blood sugar. For some people it stays high and they end up with type II diabetes. You'll see several of us here. For others, the glucose goes back down after the steroids are discontinued.

Just using my Advair inhaler for my asthma will raise my glucose by 20 points; so will hydrocortisone suppositories.
Ulcerative colitis diagnosed in 2001; symptoms as early as 1992. In remission since 2006 with Remicade.
Inflammatory osteoarthritis; osteonecrosis from steroids
Grave's disease successfully treated with radioactive iodine and now on Levothyroxine.
Type II diabetes induced by steroids.
Meds: Remicade, Colazal, Levothyroxine, Mobic, Metformin

Co-moderator thyroid forum

Joey's Mom
New Member


Date Joined Aug 2011
Total Posts : 2
   Posted 8/25/2011 6:42 PM (GMT -6)   
Wow, I use flonase nasal spray for allergies!  So, how do you handle your diabetes?  If I'm already eating low carb, what changes would I make? 
 
I know I'm jumping the gun here, but I'm a worrier!  I need to wait to see how my A1C comes back.  I've never seen this test before, but I'm assuming that it will show what my glucose has been for a couple of months before I used the cortisone enema, and if this is due from the enema, then it should be normal before using it, right?

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3754
   Posted 8/25/2011 7:37 PM (GMT -6)   
Welcome to the Forum, Joey's Mom.  I'm glad Judy is here to answer your questions specifically related to UC and diabetes.  First of all it's impressive that you've taken control of your health and have stuck to a diet to avoid becoming diabetic.  With diabetes in your family, this is really important.  You may already be insulin resistant and have been keeping your blood sugar under control with your diet but the steroids upset that balance and drive the blood sugar up.  I also use a nasal spray (not Flonase but another brand) but my doctor told me it would not cause a rise in blood sugar, probably because the spray doesn't account for much.  In any case, since you're already doing well with the diet, there's not too much you can do for yourself except regular exercise and to keep an eye on the blood sugar.  Best of luck. 
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

wodin
Regular Member


Date Joined Jul 2009
Total Posts : 497
   Posted 8/31/2011 3:56 PM (GMT -6)   
Yes, me to, what Judy said.

For me it was prednisone, and my blood glucose levels required controlling with MetFormin and diet for nearly two years. I've recently been taken off the MetFormin, and my BGLs seem to be stable in the pre-diabetic range. Fingers crossed!
Proctosigmoiditis
67 year old male
Diagnosed Feb 2007
Currently in remission X 22 months
Contracted Steroid induced diabetes during last flare.
6 Grams/Day Colazal, nicotine therapy
Nicotine therapy , primarily electronic cigarettes supplemented by Nicorett lozenges

Judy2
Forum Moderator


Date Joined Mar 2003
Total Posts : 9484
   Posted 9/1/2011 12:14 PM (GMT -6)   
I was able to maintain with a controlled diet and regular exercise for about 8 years; for the past two years I've been on a low dose of Metformin to help maintain . My glucose pretty much stays in that "pre-diabetic" range now.
Ulcerative colitis diagnosed in 2001; symptoms as early as 1992. In remission since 2006 with Remicade.
Inflammatory osteoarthritis; osteonecrosis from steroids
Grave's disease successfully treated with radioactive iodine and now on Levothyroxine.
Type II diabetes induced by steroids.
Meds: Remicade, Colazal, Levothyroxine, Mobic, Metformin

Co-moderator thyroid forum
New Topic Post Reply Printable Version
Forum Information
Currently it is Saturday, October 25, 2014 10:15 AM (GMT -6)
There are a total of 2,251,011 posts in 250,399 threads.
View Active Threads


Who's Online
This forum has 157555 registered members. Please welcome our newest member, Johnny Seven.
321 Guest(s), 10 Registered Member(s) are currently online.  Details
81GyGuy, hypoHashimoto, Need4Speed, FlossieUK, Fronton, Dewayne, yegbert, blckmstngman1, Cornell, Delmar


Follow HealingWell.com on Facebook  Follow HealingWell.com on Twitter  Follow HealingWell.com on Pinterest  Follow HealingWell.com on YouTube
Advertisement
Advertisement

©1996-2014 HealingWell.com LLC  All rights reserved.

Advertise | Privacy Policy & Disclaimer