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Diabetes Managed Clinical Network NHS Lothian | Our Services

Lothian Steroid Safety Bundle -Amendments Nov 2023

Following the launch of the guidance for the management of long term high dose steroid therapy – ‘Steroid Safety Bundle’ in June 2023, there has been some amendments. The most recent version of this guidance can be found here – Steroid Safety Bundle: Management of long term high dose steroid therapy . The amendments are detailed below:

Amendment 1

The highlighted paragraph on page 2 (Figure 1), under the title ‘Steroid ‘Sick Day Rules’ & Safe Steroid Withdrawal’ has been amended “Sick day rule dosing for patients at risk of adrenal crisis” (Figure 2).

Figure 1

Figure 2

Amendment 2

The ‘Recommendations For Screening & Monitoring For Steroid-induced Diabetes’ flowchart on page 2 has been replaced with an updated version.

If you require further information on the above amendments, please contact the author, Dr Marcus Lyall.