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. 2021 Jul 21;25(1):4–11. doi: 10.4103/ijem.ijem_227_21

Table 3.

Steroid types and suggested insulin regimen

Drug Peak glycemic effect Suggested insulin
Methylprednisolone 4-6 h after ingestion NPH
Dexamethasone 8-10 h Glargine U100/Detemir/Degludec/Glargine U300
NPH twice a day with or without rapid-acting insulin analogs
Prednisolone 2-3 h Rapid-acting insulin analogs/NPH once daily