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A.
Issues to be addressed in query are 1) Wysolone (steroid) induced Diabetes mellitus and 2) DM and raised creatinine levels (kidney failure).
There is a relationship which exists between Diabetes Mellitus and raised creatinine levels. Usually this situation arises when DM is there for a long time and not controlled and this situation is called as diabetic nephropathy meaning kidney disease due to DM. Initially this presents as protein in urine but as the disease progresses creatinine level goes up. This type of kidney failure is irreversible and these patients need dialysis and renal transplant.
In your mothers case high creatinine levels are not due to DM but seems to be due to glomerulonephritis which can be treated. Best person for this is a nephrologist. In this case the blood sugars are high because of wysolone and hopefully blood sugars should come down when wysolone is tapered off. But with such a high levels of sugar your mother needs higher doses of insulin i.e., at least 10 units of Actrapid/Huminsulin R 30 minutes before meals three times a day and Insulatard/ Lente 10 units at bed time. Home monitoring of blood glucose is also needed. For control of blood sugars please get in touch with an endocrinologist or daibetologist or provide us more details so that we can advise you accordingly.
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