Sir/Madam, This is regarding my mother who was diagnosed with Autoimmune hepatitis on 26th Sep. Her treatment is going very well. On 14th Sep, before her treatment started, her SGPT and SGOT were 616 IU/L and 361 IU/L respectively. Liver biopsy confirmed Autoimmune hepatitis. Her treatment started on 3rd Oct. Doctor started her treatment with Wysolone - 30 mg (1-0-0) for the first 2 months and when her SGPT and SGOT came under 50 IU/L, he switched to Budesonide (6 mg-0-3 mg). My query is regarding the side effects of the steroid use. My mother has been diabetic for the past 5 years for which she took glimestar M1. When the Doctor started her on Wysolone, in less than a week, the side effects started to show. Her blood sugar started to fluctuate uncontrollably. It goes from as high as 500 mg/dl to as low as 55 mg/dl. Doctor put her on Insulin (NovoMix 30 Flexpen). I was advised to constantly monitor her sugar and vary the units of Insulin as per her sugar level and that's what I have been doing ever since the treatment started. This sugar fluctuation thing is very unpredictable, so unpredictable that I have to constantly stay with my mother all the time. We don't even travel anywhere because of it. I have been telling our Doctor to do something about it but he says the same thing every time, control the sugar with Insulin. Is there any other way to minimize her sugar level fluctuation? Can you advice any medicine. Thank you.