cortisone injection - need information about Novalog/insulin

I know this seems to be repeatedly asked but i had a cortisone injection into my inflamed ankle today and it has blown my blood sugar to 549. And that was without eating. Now i need to know what is sliding scale for novalog fast acting insulin for this condition. My "scale" stops at 400 so how much more should i figure on takeing. And how long will this high number go on for. I figured i do not need to consume carbs right now but am a bit scared as to how high it is . Have been insulin {lantus} dependant for about 5 years and the Novalog for about a year now . Still cannot find info on how to figure sliding scale. Hope someone can help. [img]/community/emoticons/idea.gif[/img]

Post Edited By Moderator (LanieG) : 9/5/2014 6:34:15 PM (GMT-6)

Hi Lanie, no the doctor did not instruct me what to do . He was just a foot doc and not endocrinologist . and thanks for adding more info on my subject line.
I am 59 yr old young active lady, 5'4'' 170 lbs. also take glyburide instead of metformin{allergic} along with 30 units lantus once a day and novalog 4 units before any large meal if blood sugar is over 150 then scale i have goes from there. Please any info on sliding scale for novalog would be helpful. Hopefully can get ahold of my endocrinologist monday .
I think i am gonna like this site. thanks

I suppose you could look on the bright side of this and that is it was only a shot. The prednisone pills have to be taken for a certain amount of time and then tapered and I believe the amount of the steroid is more over that time.

I've had cortisone shots in the hip because of bursitis but that was before I was put on metformin. Mine peaked in the mid-200's for a couple of days and then went down.

You're right about the carbs. It would be best to cut them out while your blood sugar is that high.

I'm glad you found us, too!

Hi, Mojaan! Lanie is having some computer problems so I'm helping out here. I do have diabetes and I have had to take prednisone for Crohn's disease. I wasn't taking insulin at that time so I'm not a big help to you, too. Besides we are all different as to how food affects our blood sugar. I agree that you should stay away from carbs until your numbers are back in the good range.

If your numbers are really high you might want to call the doctor that prescribes your medication. I freak out if my numbers go into the 200 range but yet my A1c comes back in a good range. Just remember, this is just temporary...just a few days. You just don't want them that high for really long periods of time.

So try to relax about this because stress will raise your numbers, too. And as Lanie said, it's only one shot.

Now to answer your question about email notifications. The next time you post, right below where you write your post you will see "Notify me of reply postings by e-mail." Click on the little box in front of that and you well be notified when someone posts after your post. Hope this helps!

Sherrine

hi all,

Thanks for all your input. And Yes Lanie i did speak with my endocrinologist about this and he stated "NO MORE CORTISONE SHOTS" seems i am too sensative to them and that is not good. so now have to figure something else for the inflamation in foot and ankle. That is ok i would rather do that then face 500 blood sugar again. and even 200 freaks me out as well. So back to the drawing board and all that stuff. i realize that stress also causes #'s to go up as well and in this life tht is a common factor for everyone. So back to meditation for me again gonna sit like a bump on a log and all that . Love my yoga so that is no problem. just with bad ankle cannot sit in lotus position . Well at least for now will have to lie down.Just hope i do not fall asleep while meditating. LOL been known to do that.

Sherrine, thanks for the info on the box . And all the other info .

Take care and keep them numbers down.

mojaan

Thanks Sherrine, will wil try moist heat. Already use ibuprophen 3 times a day. And it helps some. Just with busted ankle it is hard to adjust things. Oh well at least today so far #"s are down to 140 that i can live with. Now to just keep them down. I go to doc thurs to see what else can be done. It may be that hardware needs to come out before april . I sort of hope so. Hate having metal in my body. Just a thing with me.
Keep them numbers down, walk well ,
mojaan

Gout! Well, I know you need to avoid certain food for that. Drink lots of water. There's medication for it, too, if you need it. My supermarket sells cherry juice in the pharmacy department!

I hope you're doing well.

Hi again, Ann. I'm glad your numbers are coming down! That's great!

Sherrine thanks already take colchicine it is now called colcrys thanks for the info and yes it does beat steroids I take colchicine daily and when flare up happens seems only prednisone works but am looking into another alternative. I also take allopurinol as well for that condition. Again thanks for the info.
walk well, keep numbers down.
Ann