Disabled Community Megathread from June 30, 2025 to July 13, 2025
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259 comments
Update on the healing journey: The wound isn't closed still, but is neither infected nor has any scar tissue, so that's good. The medication I got for my surgical wound, however, had a lot of cortisone, which is the main antagonist to insulin. So my high glucose levels have their origin here, thus making my diabetes the main culprit for all of this taking so long. I hope to get my glucose levels back under control soon bc holy shit, I haven't slept well since I got out of the hospital.
Wait they didn't adjust your insulin when you started taking cortisone?
You should have an increased dose and be doing a bolus dose if you're diabetic on cortisone.
Sorry for being nosy.
I don't think they considered that, no. I didn't get infusions or pills, it was just salves (skin level contact), which is apparently enough to affect the glucose levels severely. I have an appointment with my endocrinologist soon, I'll ask them if there's something I can change. I haven't used the salves in about two weeks, but I read the effects can last for up to a month, depending on how well your system can metabolize the excess cortisone. Do you know more?
Without knowing doses, relevant patient data (I.e. your medical history) and bearing in mind that I am wildly unqualified.
Because any kind of corticosteroid treatment reduces the effectiveness of insulin treatment in diabetics (and can induce diabetes in non diabetics) it is usually recommended that diabetics on any kind of corticosteroid treatment (Like cortisone) both do more frequent blood tests and also switch to a regimen with more focus on a bolus dose (I.e. insulin taken associated with meals, because base insulin is less effective) and possibly a higher base dose as necessary (Allthough that's secondary since as mentioned base insulin is less effective on corticosteroids)
Edit:
After two weeks the effect from a basic cream should be wearing off though. We're generally told that after a week you should be transferring back to normal treatment, and that's assuming higher doses.
If your endocrinologist disagrees bear in mind that they're a certified expert with access to all relevant data and I'm regurgitating a textbook
Thank you a lot for sharing that info. I'm pleased to say that I'm doing the checking already and treat the diabetes with more bolus as well. The main issue is still my "good morning spikes", but my doctor should be able to help with that.
Good to hear that you're on the mend, at the very least. Hopefully everything levels out soon and you can catch up on some good sleep.
I hope so too! And thank you love
It sucks how if you have an underlying medical condition, it makes everything else worse than it would otherwise have been. Hope you get some sleep!