Table 1.

Commonly prescribed steroids, time taken for hyperglycaemic effects to resolve and most suitable insulin to manage hyperglycaemia11

SteroidTime taken for resolution of hyperglycaemic effectsInsulin regimen to manage hyperglycaemia
Prednisolone12–16 hoursIntermediate-acting insulin (Humulin I or Insulatard)
Methylprednisolone12–16 hoursIntermediate-acting insulin
Dexamethasone24–36 hoursTwice daily intermediate-acting or once daily long-acting insulin (glargine or detemir)