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Question: From Owings Mills, Maryland, USA: My husband has type 1 diabetes. About three months ago, he started taking prednisone for Crohn's disease. He was tapered off the prednisone and has been taking Entocort for a month. Only 10% of the Entocort is released in his bloodstream, but it still seems to affect his blood sugar just as much as when he was on the prednisone, and since he has been on steroids, he has lost a lot of his ability to feel low blood sugars. I have read information saying that cortisol infusions can cause hypoglycemia awareness, but I have also read information that saying that they do not. Can steroids cause you to lose your ability to feel low blood sugars? Do you know which is true? Answer: I am not aware that steroid-induced hyperglycemia has the effect of inducing hypoglycemia unawareness. Rather, the steroids are a consistent cause of high sugars. As you have observed, this can be through oral medications, inhaled steroids, topical steroids, or enemas. These effects are related to the dose of steroid used. Therefore, a high dose of Entocort may still be high enough to induce the high sugars. Overall, it is still an effect strategy for reducing steroid-induced side effects. It is known that frequent lows predispose to hypoglycemia unawareness. I would also inquire as to whether your husband has decreased his food intake or timing of eating has been thrown off as an explanation for hypoglycemia. JTL DTQ-20021228202020 Original posting 8 Jan 2003 Posted to Hypoglycemia and Other Medications

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Guide to CWD Help with Error Messages Index Privacy Policy Search Site Map --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Get CWD Products Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

Last Updated: Sun Jan 15 12:11:20 2006
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