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Shao SC, Kuo LT, Huang YT, Lai PC, Chi CC: Using Grading of Recommendations Assessment, Development, and Evaluation (GRADE) to rate the certainty of evidence of study outcomes from systematic reviews: a quick tutorial

British Journal of Pharmacology, 148(3), 245-254

[1] Monitoring recommendations for patients using both medications include: Regular blood glucose testing particularly post-lunch and early evening when morning prednisolone is used Consider action if readings are persistently above 12 mmol/L (with individualisation based on your care plan) HbA1c measurement every 3 months for patients with diabetes or prediabetes Fasting glucose checks if not previously diabetic, particularly during corticosteroid therapy Symptom awareness for hyperglycaemia (increased thirst, frequent urination, fatigue, blurred vision) Patients with established diabetes may require adjustments to their glucose-lowering regimen whilst on prednisolone

10.1210/en.2017-00243 Endocrinology 43 Getty-KaushikL.SongD