Conversation: The conversation between human and AI assistant.
[|Human|] I am a type one diabetic with sever seasonal allergies. I have tried all over the counter (claritan, zyrtec, etc) as well as homeopatChatDoctoredications and nothing works. I have seen many allergists that tell me that taking steroids for the allergies would be worse due to elevated blood sugars but they are the only thing that works (i tried them many years ago after begging and pleading) I feel as though my sugars are more out of control due to the persistent chest, nose, eye, etc problems caused by the allergies. Do you think it would be impossible to find a doctor to prescribe a type one with an a1c of 7 some steroids for seasonal allergies? Also do you really think it is more dangerous to take steroids and have my allergy symptoms go away rather than live with highs due to the symptoms? thanks!
[|AI|]  Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms in detail like since how long, how often, what are your nose, eye, chest symptoms, which medications you used, which forms of steroids you used, dose of insulin for type I diabetes, any other medical conditions, any other medicines, your previous reports, etc. etc. This will help me to understand your complaints better and to make more specific suggestions for you. As you have chest symptoms, I would definitely like to know whether you have asthma, since when, inhaler use, etc.2. As long as nose/eye symptoms are concerned, I usually prescribe my patients' combination of levocetirizine + montelukast regularly.3. Regular steam inhalation also helps in a long run.4. I would like to mention here that there are many forms of steroids available, tablet, intranasal sprays, inhalers, etc. Most side effects, including weight gain, increased blood sugar, etc. occur with tablet/oral form. Sprays and inhalers are very safe as compared to oral forms, and choosing appropriate form may help to ensure minimum side effects with maximum health benefit. 5. Of course, Chat Doctor. 6. For diagnosis of allergies, I would suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.7. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.8. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.9. Regular physical exercise including breathing exercise and a diet rich in vitamins & minerals also will help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards.