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What Is the Connection between Cortisone and Diabetes?

Karize Uy
Karize Uy

The connection between cortisone and diabetes is that the drug can, more often than not, be harmful for people suffering from diabetes, especially for the adult-onset type. One particular symptom associated with cortisone is a sudden increase of blood sugar level, which is often dangerous for diabetics and can cause other severe conditions. Some studies have also shown that cortisone and diabetes may have a causal connection, as prolonged or regular intake of cortisone may result in the disease.

Cortisone is actually produced naturally as a hormone when the body experiences any kinds of stress, which can include inflammation or itchiness. The hormone, however, is manufactured synthetically as a medication because the effect of the natural kind is often short-term. Some conditions that cortisone can treat are arthritis, allergies, and asthma. It can also be prescribed for patients with cancer or autoimmune diseases to increase their appetite and relieve other side effects from their medications.

Prolonged high blood sugar may cause vision problems in diabetics.
Prolonged high blood sugar may cause vision problems in diabetics.

As a reaction to bodily stress, the production of cortisone often results in some physiological actions that prepare the person to “fight or flight,” reflexive responses that the body uses as defense mechanisms. Such physiological actions usually include elevated levels of blood pressure and blood sugar. This is why there is often a negative connection between cortisone and diabetes, and doctors often prescribe the medication with utmost caution and ask their patients to closely monitor their blood sugar levels and accordingly adjust their diabetes medication.

Cortisone can cause some people to develop blurred vision or nausea.
Cortisone can cause some people to develop blurred vision or nausea.

There have been reports from diabetic patients that their blood sugar increased to dangerous levels after taking cortisone for about a week. Some patients experienced the effect for just a few days; for others, however, the effect lasted for a few weeks. Several patients who have successfully managed their diabetes and blood sugar with proper diet and exercise became dependent on insulin after a cortisone medication. The negative relationship between cortisone and diabetes was also apparent in non-diabetic patients who have experienced symptoms of diabetes, such as unexplainable weight fluctuations and increased appetite and hunger, aside from high levels of blood sugar. A few patients were eventually diagnosed with developing type 2 diabetes.

Physicians should be cautious when prescribing cortisone for a patient who has diabetes.
Physicians should be cautious when prescribing cortisone for a patient who has diabetes.

Doctors may be cautious of prescribing cortisone, but it is also best for patients to tell their doctors if they have a family history of diabetes or if they already have the disease. Effects associated with cortisone and diabetes may differ from one person to another, so doctors and patients need to discuss and explore other treatment options for any medical conditions often treated by cortisone. If the patient is experiencing symptoms such as nausea, fatigue, and blurry vision, all of which can be caused by high blood sugar levels, he should consult the doctor immediately.

Discussion Comments

anon1003189

I have never had blood sugar trouble. Never. Not in 49 years of life. My family has no history of diabetes at all.

On my final visit due to a knee surgery I had 6 months prior, I was given a Cortisone shot to help with some pain caused by water and swelling on my knee. The knee was drained of fluid and the shot was administered.

That was at 10:45 a.m. By 6:30 p.m. that night I was sweating, thirsty, urinating like mad, blurred vision, and when I tested my blood sugar it was over 600.

In an act of survival, I went on the Ketogenic diet and was prescribed metformin by my D.O.

I'm writing this comment a month later. I have been put on Metformin but the symptoms were so terrible I was given Glipizide which seems to have fewer side effects. My blood sugar is now around 150 - 100. I have never had a blood sugar lever over 200 in my life.

I hope I don't have to do this forever.

anon1002967

I had a shot in my knee a week ago and my blood sugars are still well above my target range, even with significant exercise, I'm having trouble getting them down to reasonable number

bear78

@ddljohn-- I agree with this.

I had to use cortisone twice in the past because of a herniated disc in my back. There was too much inflammation and pain and I couldn't walk.

The first time I used cortisone, I had high blood sugar constantly for almost three weeks. My blood sugar went back to normal after that. But the second time I had to use cortisone, I only had high blood sugar for 48 hours. So every cortisone out there is not the same. But I agree that cortisone treatment in people with diabetes or diabetes in their family needs to be carried out under close supervision.

ddljohn

@turquoise-- Actually, there are different types of cortisone with varying strengths and degrees of side effects. Moreover, each individual responds to medications differently. So there is no rule that the cortisone given by your doctor will cause an extended increase in blood sugar. Your doctor should talk to you about this and your insulin and/or medication dose should be adjusted accordingly. The specific cortisone should mention the side effects and how long they generally last.

turquoise

I have arthritis and my doctor suggested a cortisone injection. But I have diabetes and he didn't say anything about the connection between cortisone and diabetes. Now that I know that cortisone affects blood sugar, I don't think I want to use it.

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    • Prolonged high blood sugar may cause vision problems in diabetics.
      By: JackF
      Prolonged high blood sugar may cause vision problems in diabetics.
    • Cortisone can cause some people to develop blurred vision or nausea.
      By: bellemedia
      Cortisone can cause some people to develop blurred vision or nausea.
    • Physicians should be cautious when prescribing cortisone for a patient who has diabetes.
      By: Monkey Business
      Physicians should be cautious when prescribing cortisone for a patient who has diabetes.
    • Cortisone may be used to help increase a person's appetite.
      By: milanmarkovic78
      Cortisone may be used to help increase a person's appetite.
    • Cortisone may be used to treat asthma.
      By: petert2
      Cortisone may be used to treat asthma.
    • Doctors often prescribe cortisone with extreme caution.
      By: forestpath
      Doctors often prescribe cortisone with extreme caution.
    • Diabetic patients may be more susceptible to heat exhaustion.
      By: lulu
      Diabetic patients may be more susceptible to heat exhaustion.
    • Cortisone may cause blood sugar to rise.
      By: zothen
      Cortisone may cause blood sugar to rise.
    • Diabetics may be prone to developing infections following foot injuries.
      By: NorGal
      Diabetics may be prone to developing infections following foot injuries.
    • Itchiness may occur when the body experiences any kind of stress.
      By: Piotr Marcinski
      Itchiness may occur when the body experiences any kind of stress.