Re: Can steroid injections affect diabetes?
As everyone else has stated, there's no question that steroids cause your blood sugars to go up.
I guess the question for you would be...just how bad is your back pain? Is it interfering with your life? Would steroids definitely help and if so, for how long? And is it worth it to you to have to start treating for diabetes sooner than later if the injections would significantly help? If you're already borderline, the steroids could indeed put you over the edge. On the other hand, the effects of the steroids usually don't last more than a few weeks to a month (in some people even less or slightly longer). If you're not able to exercise now because of the back pain, it's possible your diabetes will get worse even without the steroids. And, if the steroids help you get to a point where you can exercise on a regular basis, that might help you deal with your insulin resistance down the road.
You may want to talk with an endocrinolist about the situation, as well as your primary care physician and the neurologist. This is not an easy decision and I think that ultimately it's going to be up to you to make the choice, based on all the information you can gather and based on your own preferences.