Problem: A 50-year-old female with a 9-year history of diabetes mellitus (DM) type 2 complains of high blood sugars x 2 weeks. Her self-monitoring glucose readings have been in the 200s-300s x 10 days. Her DM type 2 was managed with diet, exercise, and metformin 1,000 mg bid. Her last glycosylated hemoglobin (HgbA1c) level was 6.9% (2 months ago). She has had asthma since age 11. She felt her asthma was getting worse x 6 months as she was having increased dyspnea. She has managed her asthma with a daily combined long-acting beta-2 adrenergic agonist, an inhaled corticosteroid, and montelukast. She also uses her short-acting beta-2 adrenergic agonist, albuterol, about once a day. She went to her pulmonologist about 2 months ago and was diagnosed with severe asthma. A decision was made to start her on oral prednisone (corticosteroid). The 1st month she took 5 mg/day with some relief, but the symptoms returned, so her prednisone dose was increased to 10 mg a day. She has been taking the 10 mg dose x 3 weeks. She says her breathing has improved, but she feels easily fatigued and has gained weight. Physical examination reveals an anxious female with blood pressure of 144/92. Need Professional Help?