This condition typically affects individuals with severely uncontrolled diabetes and prolonged, high-dose steroid use. Your mother?s fasting blood sugar of 110 mg/dL is only mildly elevated, and her five-day course of the steroid methylprednisolone (Predmet) was short. Since a month has already passed since she completed her treatment with Predmet and the blood thinner enoxaparin, and she is currently doing well, she is safely past the window of concern. Just continue monitoring her blood sugar levels and encourage a healthy lifestyle to manage her pre-diabetes.

A low dose of Predmet (methylprednisolone) like 4mg is highly unlikely to cause black fungus (mucormycosis), which typically occurs with much higher steroid doses and uncontrolled diabetes. Your symptoms?a stuffy nose, itchy face and throat, and eye pain?sound much more like a common allergy, mild viral irritation, or tension compounded by stress and lack of sleep. To help you feel better, try to rest, stay hydrated, and use a soothing saline nasal spray. If you develop severe facial swelling, vision changes, or worsening pain, please consult a doctor promptly just to be safe.

Your father's oxygen levels of 85-86% and breathlessness when talking or walking are clear signs that he requires immediate hospital evaluation and oxygen therapy. While lying on his stomach helps temporarily, it is not a substitute for professional medical care, especially given his history of diabetes and COVID-19. Please take him to the nearest hospital or contact emergency services right away. You should continue his current medications, Predmet (methylprednisolone) and aspirin, exactly as prescribed until the hospital doctors review his treatment. Prompt medical care will ensure he gets the right support to recover safely.

Your symptoms are highly unlikely to be 'black fungus' (mucormycosis). This rare infection typically affects individuals with severely compromised immune systems or those on high-dose steroids for a long time. Predmet 4 (methylprednisolone) is a very low-dose steroid. Your stuffy nose and cheek rashes are much more likely due to a mild allergic reaction, skin sensitivity, or your body recovering from the infection. I highly recommend discussing these symptoms with your doctor so they can examine.

It is completely normal to experience these symptoms while taking Predmet (methylprednisolone), and they should gradually improve as your dose decreases. To manage them, try taking your daily doses earlier in the day, ideally before 6 PM, to help with sleep. Reducing caffeine and staying well-hydrated can significantly ease both shaky hands and headaches. Ensure you get plenty of rest, and please continue your tapering schedule exactly as prescribed, as stopping abruptly can make you feel worse. You are doing great, but if these side effects become too difficult to manage, reach out to your doctor for guidance.

A D-dimer level of 710 is mildly elevated, which is quite common during recovery from COVID-19 and does not automatically mean he has a blood clot or needs blood thinners. Since he is recovering, his doctor will look at his overall risk factors, mobility, and any symptoms like leg swelling or shortness of breath before deciding on blood thinners. Please share these results with his treating physician promptly so they can safely guide his next steps. He is making good progress with his inflammation settling down.