Hi There, I assume your talking about Type II Diabetes!? Basically his body is very inflammed, and the challenge is to cut the inflammation without steroids as those will worsen his Diabetes. If he doesn’t respond to the steroid, which he should quickly, then I would consider a muscle biopsy to rule out (r/o) something else. With that said is highly probable that the issue here is at the insulin receptor site which will be your main battle. There are four main areas to work: Food Reactivities, Exercise, Low glycemic load diet, and bombarding the insulin receptors with co-factors to make them work better (Vitamin D3, certain herbs and nutrients, omega 3 fatty acids, etc…); otherwise the dysinsulinism will keep driving his system to be inflammed. You’ll need to work closely with a practitioner who knows how to handle Insulin Resistance. I know you’re past that point, but the work still needs to be done (assuming this is Type II). Also the other systems that have been affected need to be addressed. Like the gut, Immune system, and especially the Adrenal Glands. Have a look around in your area for someone who can handle the above issues. Happy Healing… and let me know if there is anything else. Wright Acupuncture and Massage Bill Wright, L.Ac., DNBAO and Karen Wright, CMT 251 Auburn Ravine Rd., #205 Auburn, CA 95603 530-886-8927 www.auburn-acupuncture.com