A 60-year-old woman with a 3-year history of diabetes is presented with dyspnea and cough. She has had a chronic obstructive pulmonary disease (COPD) since age 55. Her type 2 diabetes has been managed with diet and exercise. Her last HbA1c 1 month ago was 6.8%. Examination Blood pressure 130/70mmHg Pulse 120, Respiration rate 24 Weight 180lb Lungs were clear to percussion, but wheezing is present bilaterally.
Lab Evaluation ABG: 7.46; pO 2 : 60; pCO 2 : 40; O 2 Sat: 88% Spirometry: forced vitality capacity (FVC): 3.2; forced expiratory time in 1 second (FeV 1 ): 1.4 She was recommended albuterol and begun on a course of prednisone at 40mg/day for 3 days, tapering over 2 weeks. On day 3, she reported that her blood glucose level is 350mg/dl post lunch. What is the typical pattern of steroid induced hyperglycemia? *This case is from Docplesxus editorial team for educative purpose only.…
