i am a diabetic & needed a cortisone shot 4 a trigger finger. How long until the hi blood sugars go away?

Question

cortisone raises blood sugars and mine have been in the 300's all week. I got the shot on Monday, july 9th and it is now the 12th.

i can bring it down with extra insulin, but it raises itself again in a few hours.

Any idea how long this will last?

Thanx!

Answer 1

The amount of cortisone doctors usually inject below the finger (really in the upper palm) for a trigger finger should not raise blood sugar for more than 48 hours. Even though diabetic individuals vary on the time it takes to clear their systems, 3 days seems excessively long. Are you sure there is nothing else affecting your blood sugar at this time (stress, change in diet, less exercise)? No matter how long it lasts, keep on top of it with the extra insulin, so the trigger finger will heal properly.

The only time my blood sugars stayed up like that on me was when my regular rhematologist (he uses a small injection of lidocaine to numb the injection site before injecting cortisone) was on vacation. The alternate doctor I saw used freezing to numb, then inject. I thought my hand was going to fall off ...not from the cortisone injection, but from the burning and pain from the freezing. Fighting pain (body under stress) kept my blood sugars high for longer than 48 hours. Obviously I didn't react well to the freezing, so won't try that method again.

I know you didn't ask, and you may already know this, but I did not know this years ago...there is a condition called Dubytrens Contracture of the Tendons. The tendons in the hands shorten and pull the fingers in toward the palm. Apparently there is no treatment except cortisone, but when the condition worsens and grows to affect all fingers, doctors can do surgery to release the tendons. It does not happen to every diabetic. I used to just get a tendon triggering now and then, but recently found out I am getting classic Dubytrens Contracture. Just a heads up to a fellow diabetic.....

Answer 2

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Answer 3

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Answer 4

I had a cortisone shot in my shoulder joint for a frozen shoulder (the ortho was just trying to rule out bursitis) and my bgs stayed in the 300s for a month! Like you, I was always having to correct with insulin just to have it come back up again.

My endo told me beforehand not to get the shot because the bg levels could stay elevated for a month or more. I did not believe him nor did the orthopedic surgeon so I went ahead and got the shot any way. And it still did not help my shoulder problems!

Good luck and bear with this.....there is really nothing else you can do but to keep correcting until this stuff is out of your system. By the way, I imagine that the effects of this drug varies according to individual and amount given.

Answer 5

you should see a doc right away, or go to a good hospital emergency room. and dont get another cortisone shot, they are way too dangerous for diabetics. it can really upset the heart. sometimes in this situation drinking lots of water and walking about can help, but it needs to be monitored immediately by a medical professional.

Answer 6

I would have thought that you would have received a corticosteroid injection in the tendon of the finger in question which should not have affected glucose levels at all. If you received an injection in a muscle it may affect glucose for as long as 7 to 10 days. Such injections are often referred to as 'depo' short for deposit as the medication is deposited in the muscle and then 'leaks' out over time as noted above.

Answer 7

I had a cortisone shot in my shoulder, and in my back, and my sugars stayed completely normal. Unless the shots are intramuscular, they will NOT affect your sugars at all. A shot in the finger will NOT affect your sugar levels.