instruction: hello doctor my father had cataract surgery yesterday his sugar levels were fine before surgery today he was given a deja injection my in his eye due to inflammation after that the sugar levels have stayed between 280 300 through out just before dinner his sugar levels were 300 my do as advised by our doctor have gave him 16 units of mixtard instead of 14 which he takes regularly along with regular sugar medicines my questions are does deja injection increase the sugar so much and when will the effect go in addition he is also putting one drop of steroid eye drops predmet every hour from tomorrow it will be once every three hours can this also increase the sugar level from tomorrow how should we manage the sugar levels will the effect of steroids go away please see the attached prescription of all the eye drops after cataract surgery he is taking mixtard insulin 30 70 50 units in the morning 14 units in the night glycomet gpa 0 linagliptin my 0 fibator 10 my 1 metolar 25 0 dynapres 4 1 arreno 0 ecosprin 75 0 thyearonorm 25 my one tablet from monday to thursday and two tablets from friday to sunday cap prise once a month
output: hello welcome to icliniq com I just read your query and from what you have mentioned it appears that your fathers blood sugar has increased because of steroids as for your questions let me answer them one by one yes deja injection increases the sugar so much and it will have decreased effect once your father is off steroids completely yes steroid eye drops predmet methylprednisolone can also increase sugar level regarding managing the sugar levels if his fasting is above 250 then increase his evening dose of insulin by adding two more units if his dinner blood sugar is 250 my dl above then add two more units to his morning dose of insulin and continue monitoring accordingly if drops to 200 then do not increase his insulin at all and maintain at that dose of insulin keep following his blood sugar closely and watch for any signs of hypoglycemia as well like increase sweating or shivering or headache or hunger or cold skin etc I hope this helps