Can Nasal Steroids Raise Blood Sugar?

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anxious_dev
Regular Member


Date Joined Apr 2016
Total Posts : 38
   Posted 4/21/2016 7:30 PM (GMT -6)   
I recently had a co-worker who has Type-2 diabetes put on my team. Anyway long story short I take over the counter nasal steroid Fluticasone Propionate (glucocorticoid) and when she saw me taking it she told me I shouldn't take it because it can raise blood sugars levels and in some cases lead to steroid induced diabetes. That kind of got me worried because although I had my yearly physical in December and my blood sugar and H1ac levels were perfectly fine, my Grandfather lived with diabetes for 30 years, thankfully no one else in his lineage has developed it. But still something I consider since it can be hereditary.

Does taking nasal steroids for seasonal allergies increase blood sugar? Does it increase the risk of developing type 2 diabetes? Does anyone with diabetes notice spikes when taking a nasal steroid?

cilly
Veteran Member


Date Joined Aug 2014
Total Posts : 1345
   Posted 4/21/2016 7:46 PM (GMT -6)   
I use same spray as you as told to me by my ENT years ago.
I already have diabetes and good you mentioned it as I will check my sugars more now.

Will update you if I notice increase.

Best is to ask your PCP about it.Diabetes is highly heredity also lifestyle so don't worry.
Keep your fingers crossed and keep any eye on A1c as that's most imp number.
Good luck!!
Cilly

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5918
   Posted 4/21/2016 8:00 PM (GMT -6)   
Hi and welcome to the Diabetes Forum. I don't think steroid nasal sprays will affect your blood sugar. Here is a study that supports that: www.ncbi.nlm.nih.gov/pubmed/23168154

Some years ago I had also asked my doctor about that and the topical steroid creams for rashes and she told me they didn't affect blood sugar.

Since you do have one person in your family that had diabetes I think you are wise to be aware of your blood sugar. If you see that your fasting blood sugar is rising even a little when you take your annual physicals, then take steps at that time to cut down on carbs. Unfortunately, through the years as my fasting blood sugar crept from 100 to 110 and hovered between that and 120, my doctor at that time just told me to watch my diet but I honestly didn't understand what that meant in terms of blood sugar and what I ate!

Here is a website that you might find interesting that has lots of information about blood sugar: www.phlaunt.com/diabetes/

It's good that you're asking questions but I don't think you need to be worried about the nasal sprays.
Lanie

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

anxious_dev
Regular Member


Date Joined Apr 2016
Total Posts : 38
   Posted 4/21/2016 8:22 PM (GMT -6)   
Thanks for the feedback. In my physical in December my A1C result was 4.9, which from my understanding is healthy. I have anxiety as well and since I work in IT which includes a lot of sitting, I try to stay on top of these things. Unfortunately my anxiety sometimes gets the better of me and it turns into being on top of it to worry and panic.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5918
   Posted 4/21/2016 8:33 PM (GMT -6)   
I know anxiety very well and how it can take over! The best way I found to get control over it is to learn as much as I can about my health and what's going on at the time. Trying to stop the triggers is hard sometimes, I know.

In any case, being aware of your family's health history is the first step. When you have blood tests for physicals every year, blood sugar is normally included, so as I wrote before, make sure there is not upward trend on your fasting.

In the meantime, try to make some time on a regular basis to get up and move during the day. Take a 15 minute walk at lunch time. Take the stairs. Park farther away from the building, etc. Start using some hand weights - but speak with your doctor about that and learn how to work with dumb bells the correct way. Get a trainer at a gym, or check online about using them. Muscles use blood glucose more than fat does. Cardio (stairs, walking, exercise...) also uses blood glucose. These will help your heart, circulation and your mood, your overall health, not just blood sugar! yeah

Have you spoken to your doctor about your anxiety?
Lanie

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

anxious_dev
Regular Member


Date Joined Apr 2016
Total Posts : 38
   Posted 4/22/2016 4:14 PM (GMT -6)   
Thanks for the reply. I have spoke to my doctor about my anxiety. I spent about 8 months on Zoloft in 2014-2015 but unfortunately SSRI drugs do not agree with me. I had lots of side effects and gain 35 lbs. Since Spring of 2015 I've been managing my anxiety medication free but when my stress levels are elevated for extended periods of time my anxiety and OCD worsen. However for the most part it has been manageable.

Many of my anxieties are health anxieties, I'm a bit of a hypochondriac. When I first started having anxiety issues I was convinced there was something wrong with my heart and I was going to die any day. Seems silly looking back now but at the time it seemed like a real possibility.

Lanie G
Forum Moderator


Date Joined Nov 2006
Total Posts : 5918
   Posted 4/22/2016 6:32 PM (GMT -6)   
That's what anxiety does to us. It makes us believe that fears are real. Have you posted in the Anxiety Forum here? With health anxiety we can have tests to show us that our fears are not real at least. I hope you are doing better in that area. In the beginning of my own diagnosis, I was already dealing with anxiety that wasn't related to health so being told that I had to test my blood sugar didn't particularly help matters but somehow I was able to overcome most of it and learning as much as I could about my own health has helped me.

But we do have to be realistic. Diabetes is on my mom's side of the family so I am determined to control my blood sugar with diet and exercise and now I'm also on metformin which is fine because this drug may be beneficial in other areas as long as my stomach can tolerate it! :-)
Lanie

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