Do you recommend using intermediate-acting insulin over long-acting insulin for the management of steroid-induced hyperglycemia?

It depends on the dose of the steroids being used and whether the steroid use is for a short period or for prolonged chronic use. If the dose of the steroid is high and the use is intended for a short time, use of a short acting insulin may be preferred to combat the hyperglycemia, If the steroid us...

Yes, especially if the patient is on prednisone once a day. NPH given at the same time as prednisone works better than longer acting insulin.

It depends on the clinical situation and on what type of steroids are being used, but intermediate-acting (e.g. NPH) insulin can be a reasonable approach for hospitalized patients on once-daily prednisone, for example. Monitoring is critical, and will guide further dose adjustments or a possible cha...