2例2型糖尿病合并视神经炎、2例2型糖尿病视网膜脱离术后患者在严格控制血糖平稳下短时间应用糖皮质激素。结果 4例病人均取得良好的疗效,且血糖管理平稳,未出现明显不良反应。结论虽然糖皮质激素对糖代谢的影响很大,但只要合理应用,血糖亦能得到很好的控制。 2 cases of type 2 diabetes with optic neuritis, 2 cases of type 2 diabetic retinal detachment patients under strict control of blood glucose in a short period of time under the application of glucocorticoid. Results All 4 patients achieved good curative effect, and blood glucose management was stable without obvious adverse reactions. Conclusions Although glucocorticoids have a significant impact on glucose metabolism, blood glucose can be well controlled as long as it is used properly.