If you are taking Dex, it is known for that. Ask for an alternative.
Paula🌹
June 12
It sounds like you're asking: during your 3rd week of induction treatment, your blood sugar levels have risen and you're needing more insulin — what could be causing this and what should you know?
This is a very valid concern. The most likely culprit is the corticosteroid (steroid) component of your induction regimen, such Show Full Answer
It sounds like you're asking: during your 3rd week of induction treatment, your blood sugar levels have risen and you're needing more insulin — what could be causing this and what should you know?
This is a very valid concern. The most likely culprit is the corticosteroid (steroid) component of your induction regimen, such as dexamethasone. Steroids are commonly used in myeloma treatment and are well known to raise blood sugar levels, which can make managing existing blood sugar conditions more challenging. There's also something important to be aware of regarding insulin use during myeloma treatment. Some research suggests that people with myeloma who take insulin may not respond as well to treatment. It's worth having a conversation with your oncology team about whether an alternative approach to managing blood sugar, such as metformin, might be a better fit alongside your myeloma treatment. Here are some key steps to consider:
- Talk to your oncology team right away about the rising blood sugar numbers — they need to know
- Ask specifically whether your steroid dose or schedule could be adjusted
- Discuss insulin alternatives like metformin, which some studies suggest may actually support better myeloma outcomes
- Monitor closely and keep a log of your sugar readings to share with your care team
You're right to flag this early — staying on top of it gives your team the best chance to help you manage both effectively.
June 12
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