Your blood sugar is sky high and hard to get down because of the pred. Been there, done that, got the t-shirt. Yes, if it can't be managed with oral meds insulin is the trick. Perhaps if you can get off the pred, you will be able to go back to an oral medication again, as these have fewer long-term side effects.
How long have you been on steroids? I hope you'll be able to get off soon. I finally got off after starting Remicade, but even before they were giving me diabetes and osteonecrosis but not stopping my colon inflammation.
I also find the dietary management tricky sometimes. The standard recommendation for diabetics is heavy on the veggies, plenty of fiber and low carb. For most of us UC-er's, this would be suicidal. So we have to find the balance that works the best for us. Now in remission I can eat a moderate amount of fiber and fresh fruits and veggies, but the really zero carb things like salad I have to limit.
I'm sure you know the third leg of the diabetes treatment stool is exercise. Sometimes this can also be a real problem because of the fatigue that comes with IBD. But if you can exercise, I've found that has almost more effect on my blood sugar than anything else.
(And just a gentle reminder than our forum administrator asks that we not discuss medical cannabis use.)
I really hope you can get some relief and get off the pred. My glucose readings came down about 20 to 20 points when I came off (after going up about 50 when I started the pred.) Hopefully yours will decline also.
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
Moderator, thyroid forum