HealthRX.com · Printable lab tracker
Prednisone course glucose log for NMN or NR users
Log the prednisone dose, any NMN or NR, and glucose readings before breakfast and again in the afternoon and evening, when prednisolone-related highs mostly appeared in a monitoring study. Share it with the prescriber during the course.
The course
Prednisone dose and start date
Planned length, and the taper plan
What it is treating
Diabetes or prediabetes?last HbA1c and date
NMN or NR product and daily amount
Glucose by time of day
If you have a meter or sensor, record the same three times each day so the pattern is comparable.
| Date | Prednisone dose | Before breakfast | Mid-afternoon | Evening (before dinner or bedtime) | NMN or NR taken? | Notes |
|---|---|---|---|---|---|---|
What the sources say
- Corticosteroids may raise blood glucose, so diabetes medicines may need adjusting.[1]
- In hospital patients on prednisolone, glucose rose mainly in the afternoon and evening; 21 of 40 without known diabetes recorded 200 mg/dL or more.[2]
- Ketoconazole has been reported to slow the metabolism of some corticosteroids by up to 60%.[1]
- Live or live attenuated vaccines are contraindicated on immunosuppressive corticosteroid doses.[1]
- The lowest corticosteroid dose that controls the condition should be used.[1]
Seek medical advice at once
- An acute illness, including fever or other signs of infection, while on prolonged prednisone.[1]
For your prescriber
- What glucose reading should make me call during this course?
- Should I check in the afternoon or evening as well as before breakfast?
- Will my diabetes medicine need changing while I take prednisone, and again as it is tapered?
- Is there any reason to pause NMN or NR during the course?
- If the course will run for months, what bone protection do I need?
Sources for the facts on this sheet
- Par Health USA, LLC, via DailyMed. PredniSONE Tablets, USP (Par Health USA): prescribing information. Effective 2026-07-31. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=10fe5a3b-84dc-4600-87c2-b80c97ce18cf
- Burt MG, Roberts GW, Aguilar-Loza NR, et al. Continuous monitoring of circadian glycemic patterns in patients receiving prednisolone for COPD. J Clin Endocrinol Metab 2011. PMID 21411550. https://pubmed.ncbi.nlm.nih.gov/21411550/
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.