From Tampa, Florida, USA:
My seven-year-old son, who is on a pump, is just starting on Pulmicort Respules 0.25 twice daily with the nebulizer until his cough is gone, then another week on the same schedule. This was prescribed by our pediatrician. We discussed how this would raise blood sugars and I said I would contact our endocrinologist on how to regulate the blood sugars effectively. She stated to watch and make correction boluses. I would really like to have more "concrete" information on how to be proactive rather than react for the next few weeks. What do you suggest?
Hopefully, with inhaled steroids, you should not see much effect on glucose. That's the idea of inhaled. Just to give you some math: 250 mcg every day for a year is less steroids than he would take by mouth for three or four days. Your pediatrician is correct in using inhaled steroids to try to prevent the need for oral steroids in much larger doses guaranteed to raise glucose more significantly. I think your endocrinologist is correct. You may have mild adjustments to make, but a "proactive" increase in basal, etc., might just find you fighting hypoglycemia.
Last Updated: Tuesday April 06, 2010 15:10:14
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by Children With Diabetes, Inc, which is responsible for its contents.
© Children with Diabetes, Inc. 1995-2014. Comments and Feedback.