Spinal epidural and BG

I had a spinal epidural last week (cortizone) and my BG has been high ever since. I have upped my basal (pump)and adjusted my boluses, but it is still running high. Anyone have a secrete solution other than time. It seems like my metabolism has slowed, and even exercise (cardio and resistence) has a lesser effect.

I had the same thing last year and posted the reults. Let me look at it so youcan see the discussion, I will post it.



God Bless

That’s strange. Did they put steroids in the spinal block medication?
I just had surgery on Friday and they gave me a spinal block for it too. They had to do arthroscopic surgery on my ankle. My blood sugar stayed steady at 100-130 during surgery and for the past few days about 150-180 but I think it was because of the stress and pain. It’s fine now though.
I talked to my endo before my surgery and he said that the steroids can jack up your blood sugar for a week afterwards. He said it will fade away in a week or so depending on how much they gave you. I asked them not to put steroids in my anesthesia so I know that isn’t a factor in my blood sugar levels.

Not to worry, it’s not you, just those pesky steroids. Just keep checking and I’m sure it will calm down again. If it doesn’t in a week you may want to give your endo a ring and see if there is anything extra you can do.

Feel better!

On the 3rd of August and 24th of August I had Lumbar epidural steroid injection and it had me above 200 for 3 days each time. I have a herniated disc L2. I have one more shot in September. I am on MDI (type 2) I took my normal Levemir shot that morning.

as a rule of thumb the physicians that i work with in “Pain Clinic” will not do an epidural procedure unless BG’ s are under 200. we always warn diabetics that these steroids will spike up their BG levels. however, there has never been a discussion as to: “how long? and how to treat?” . And i’m curious as to why our repeating patients with diabetes have not brought this to our attention. i’m sorry that i cannot offer any solutions right now. But i’ll definitely ask around.

I could not figure out how to post this Tudiabetes discussion as a “Link”. So: got to my page, cllick on discussions by this author ; click on view, discussions started by this author, and then scroll down to “Yuck!!: Results of Epidural Corticosteroid Injections”,… I too got high blood sugars for quite a while. I also had swollen, puffy feet and legs and, unfortunatley, limited reduction of pain symptoms. Read the thread. I would not do it again.



God Bless,

Brunetta

I had a course of oral steroids (maybe prednisone?) a couple of years ago and ended up doubling my basal rate.

I had one at S1/L5 a couple of months ago. I ended up at 200% basal for about a week, then gradually lowered it over the course of the next few days. Limited effectiveness, but I can walk further than I could before without cramping etc.

IMO the only secret solution is time, and just accepting that it is what it is. (Yeah I give good advice but don’t follow it to well!)

Usually double basal for two weeks, then weeks 3 and 4, reduce the overage gradually as you see lows.