A member asked:

Blood sugar 330 after 5 hours of dinner? taking dexamethasone 4mg twice daily. was diagnosed with type 2 diabetes 10 years ago lost over 100 lbs told in remission. taking this for polymyalgia is this the cause will it go away.do i need different drug?

2 doctors weighed in across 2 answers
Dr. Silviu Pasniciuc answered

Specializes in Internal Medicine

The typical steroid doses for polymyalgia are much less, in the range of 10-20 mg Prednisone. Your prescriber should be aware of your hyperglycemia so that steroid doses can be adjusted properly.

Answered 9/19/2022

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Whatever is causing your hyperglycemia is a secondary matter. Please consult with your doctor and a nutritionist to make sure that you control you blood sugar and aim to keep A1c below 7. It is unlikely that the blood glucose will go down meaningfully even if discontinue Dexamethasone. Wish you good health!

Answered 9/19/2022

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