Hormones & diabetes
Corticosteroid
Prednisolone / prednisone
Also known as: Deltasone, Pred Forte (oral forms)
Best time
Morning
- 06:00–09:00
Taken in the morning to mirror the body's natural cortisol peak and limit side effects.
Strong evidence
Consistent clinical trials or official prescribing guidance support this timing.
Why this time works
Cortisol naturally peaks soon after waking. A morning steroid dose fits this rhythm, causing less suppression of the body's own adrenal glands and less insomnia than evening dosing.
Body rhythm involved
Cortisol peaks 30–45 minutes after waking and is lowest around midnight.
Other hormones & diabetes medicines
Levothyroxine
Synthroid, Euthyrox
On waking, empty stomach — or bedtime
Hormones & diabetesStrong evidence
Hydrocortisone (replacement)
Cortef, Plenadren
Largest dose on waking, smaller early afternoon
Hormones & diabetesStrong evidence
Metformin
Glucophage, Glucophage XR
With meals (XR with the evening meal)
Hormones & diabetesStrong evidence