First thing Monday we were at the doctors: examination and X rays later produced “the good news”. It is NOT pneumonia, “just bronchitis” with his chest feeling “a bit tight”. We went home with a handful of stuff from the pharmacy:
We are going to have some D roller-coaster fun for a week on top of trying to deal with the bronchitis.
I had to remind myself that at time of illness we have to focus on treating the illness first while trying our best to balance the diabetes side of it. The priority is treating the illness, however staying on top of the diabetes control helps the healing / recovery process of any illness.
On return home I have contacted our Diabetes Educator back in Australia and our current Endo / Pediatrician here in South Africa to find out about the “science” behind the effect of steroids on diabetes management.
I wanted to get an idea of what to expect and how best to adjust the insulin.
I have also posted questions on Diabetes related FaceBook groups in Australia, Serbia and South Africa.
Within few hours I had DE ’s and doctors advice and insights from few families who had experienced effect of steroids on diabetes management first hand.
We were ready to ride the roller-coaster!
It is amazing how THE KNOWLEDGE can be at our fingertips in today’s world of advanced communications via internet and social medias. We just need to reach in the right direction.
At least I knew what to expect:
To cut the long story short (me & short story, bah ha ha), we rode the steroids / D roller-coaster.
IT was everything everybody warned us of and MORE.
We did notice a slight easing out, a weaker resistance towards the end of 24 hours cycle (steroids were taken 1 a day, after breakfast). Mr T’s total daily doses (TDD) of insulin during the period were as follows:
Three weeks later, we know that the steroids worked for Mr T. They have caused havoc to BG’s and made diabetes management that much harder during the period, but with no major effect on HbA1c.
Sounds unbelievable, but, I suppose, trying to stay on top of it ALL THE TIME helped.
One is sure, I do not wish to experiment with the steroids again anytime soon, but if we have to, we’ll be prepared.