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Prednizone Causing Type 1 Diabetes

Been the victim of Legal Malpractice? Discuss it here.

Prednizone Causing Type 1 Diabetes

Postby madison86 » Thu Dec 01, 2016 5:45 am

My husband who is 47 years old was prescribed Prednizone by the hospital for the treatment  of Cluster Headaches.  My husband was in perfect health except for the Headaches.  He was on 60mg dose daily and after 45 days of treatment began to show signs of Diabetes. Never were we informed that Prednizone could increase blood sugars and in some patients destroy the pancrease. The doctors thought after they started to wean of the steroid his blood sugar would return to normal.  His blood sugar was 550.  They started to treat with oral meds for over 3 years and then started Insulin at night.  Last month he was started on Insulin 4 times a day.  Blood sugars have been lows of 50 to highs of 600.  He runs 4 miles a day and has no family history of Type 1 in family.  He is now a Type 1 Diabetic. My husband has a drug regimen now of over 16 pills or shots a day because they want to keep blood pressure, cholesteral below normal range because of long-term impact of Diabetes.  I would appreciate your thoughts.
madison86
 
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Prednizone Causing Type 1 Diabetes

Postby Tihkoosue » Thu Dec 01, 2016 8:43 am

My husband who is 47 years old was prescribed Prednizone by the hospital for the treatment  of Cluster Headaches.  My husband was in perfect health except for the Headaches.  He was on 60mg dose daily and after 45 days of treatment began to show signs of Diabetes. Never were we informed that Prednizone could increase blood sugars and in some patients destroy the pancrease. The doctors thought after they started to wean of the steroid his blood sugar would return to normal.  His blood sugar was 550.  They started to treat with oral meds for over 3 years and then started Insulin at night.  Last month he was started on Insulin 4 times a day.  Blood sugars have been lows of 50 to highs of 600.  He runs 4 miles a day and has no family history of Type 1 in family.  He is now a Type 1 Diabetic. My husband has a drug regimen now of over 16 pills or shots a day because they want to keep blood pressure, cholesteral below normal range because of long-term impact of Diabetes.  I would appreciate your thoughts.
Tihkoosue
 
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Prednizone Causing Type 1 Diabetes

Postby Derwent » Thu Dec 01, 2016 5:51 pm

Carly:  Firstly, remember, I am a lawyer and not a doctor. My research says that Prenisone is considered the treatment of choice for cluster headaches. It also says that it can cause blood surgars to rise and lead to diagnosis of diabetes.  The legal questions, which I don't have the answers to without hiring a phyician expert,are as follows:

1.  Was treatment with prednisone appropriate for this patient?  In other words, was an appropriate medical workup performed to make sure that there were no reasons not to prescribe it; such as pre-existing diabetes, etc.? Were all recommended protocols followed before he started the prednisone? If not, is that the cause of the current problem?

2.  Was the dosing correct?

3.  Was the drug monitoring done according to the book? There is no doubt a protocol to test blood sugars and for other changes during use of the prednisone. Did the prescribing doctor follow those protocols?  Did failure to follow protocols lead to the current problem or, conversely, if the protocols were followed would it be clear that he should have discontinued the drug and thereby avoid the current diagnosis?

4.  Did this doctor prescribe the prednisone haphazardly without noticing reasons not to give your husband this treatment? That is what would make a viable malpractice case.  Imagine 10 qualified neurologists. Do you think that if they looked at your husband's medical history, the physical exams, everything about him and saw what his doctor did, would say 8 of them say in alarm "what the hell was that doctor thinking about"?  In other words, was he clearly unsuitable for cortico-steroid therapy, in the way it was doses and the way it was monitored?  Unless those 8 specialists would say "yes" to that question, there is no malpractice case.

5.  Informed consent.  There may have been a lack of informed consent on a technical basis but a doctor is not required to read off the 20 pages of fine print warnings on such drugs to every patient.  A lawsuit based on informed consent alone would not fly but would compliment a case based on more substantive issues.

These were mostly random thoughts but I can tell you are an intelligent lady and these points will center you on what the legal/medical issues are.  By the way(I don't know how to get back to your question without erasing my answer) but you mentioned "three years" of time passing?  First issue therefore would be your Statute of Limitation.  Google as follows: [name of your State] statute of limitations medical malpractice".  Time period would run from when diagnosis of diabetes first made.  If beyond the statute, usually 1-3 years, nothing else matters. No legal recourse. Read up on it.
Derwent
 
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