In clinical settings, chromium deficiency has been linked to impaired glucose tolerance and emerging insulin resistance, particularly in patients on long‑term total parenteral nutrition where trace‑element provision is inadequate. Chromium functions as a cofactor that helps insulin signal more effectively at its receptor, so low chromium status can worsen post‑meal glucose excursions and increase insulin requirements despite otherwise unchanged diet or medications. Case reports and small series describe patients with unexplained hyperglycemia and neuropathic symptoms whose glucose tolerance, insulin sensitivity, and sometimes weight trajectory improved after chromium was added back to their nutrition support, underscoring that unrecognized deficiency can masquerade as primary type 2 diabetes or “idiopathic” insulin resistance. This medication is commonly used for Inflammation.
Brown RO, Forloines-Lynn S, Cross RE, Heizer WD. Chromium deficiency after long-term total parenteral nutrition. Dig Dis Sci. 1986 Jun;31(6):661-4. Anderson RA, Cheng N, Bryden NA, Polansky MM, Cheng N, Chi J, Feng J. Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes. Diabetes. 1997 Nov;46(11):1786-91. Anderson RA, Polansky MM, Bryden NA, Roginski EE, Mertz W, Glinsmann W. Chromium supplementation of human subjects: effects on glucose, insulin, and lipid variables. Metabolism. 1983 Sep;32(9):894-9. Riales R, Albrink MJ. Effect of chromium chloride supplementation on glucose tolerance and serum lipids including high-density lipoprotein of adult men. Am J Clin Nutr. 1981 Dec;34(12):2670-8. Anderson RA. Chromium and insulin resistance. Nutrition Research Reviews. 2003;16(2):267-275.
Some side effects may be linked to nutrient depletion caused by this medication.
Research has found that corticosteroids increased chromium excretion in patients after just three days. Chromium is an essential mineral that helps regulate blood sugar levels. This is important because corticosteroids themselves can raise blood sugar, contributing to diabetes. Evidence suggests that chromium supplementation improved fasting blood glucose levels in patients with steroid-induced diabetes.
Corticosteroids can lower calcium levels in the body. This is a double threat to bone health because corticosteroids themselves can weaken bones. Calcium is essential for strong bones, and a study showed that supplementing with both calcium and vitamin D3 helped prevent bone loss in people with rheumatoid arthritis taking corticosteroids. Supplementation with calcium should be considered during long term corticosteroid therapy.