Thread by @baxirahul

In the sea of tweets about high glucose levels, let’s not forget something which can be equally important and more dangerous. Hypoglycaemia (low glucose levels). Below are some of the symptoms which can be due to low glucose levels #Diabetes #COVID19 #Steroids (1/n)

Many patients who are on steroids may be on medications for hyperglycemia(tablets as well as Insulin). Once steroid dose is gradually reduced, the glucose levels will tend to improve. Some may have low glucose levels in morning too #Diabetes #Hypoglycemia #COVID19 (2/n)

As steroids r reduced & stopped, its important to continue monitor glucose levels & consult ur Dr so the diabetes medicines can be adjustd accordingly. I have seen few cases who continued diabetes medicines & had weakness but didn’t check glucose levels regularly #diabetes (3/n)

Those who are affected with #Covid19 and started on steroids

1. Monitor glucose levels regularly

2. Stay in touch with your Dr

3. Watch for symptoms of hypoglycaemia (low glucose levels) and take action as appropriate (4/4)

@DrDeepakKrishn1 @DNeurosx @anilbhatortho @amitsurg