How do you approach adjusting insulin pump settings in patients who have received intra-articular corticosteroid injections?   

Managing steroid-induced hyperglycemia in patients with diabetes has always been a difficult problem, and guidelines are hard to come by. Glucocorticoids cause increased insulin resistance and an increased need for insulin. The steroid effect on glucose is greater in the post-prandial state than the...

I agree with Dr. Hudson that the effect of intra-articular steroid injections on glycemic control can vary greatly among individuals and that these effects tend to be short-lived (especially relative to the time interval required for chronic glycemic control to minimize the risk of long-term diabeti...