Objective To determine the clinical efficacy of glucocorticoid on patients with acute exacerbation of congestive heart failure,type 2 diabetes and renal insufficiency.Methods Prednisone was used in addition to traditional treatment in 13 patients with acute exacerbation of congestive heart failure,type 2 diabetes and renal insufficiency.Results Prednisone dramatically improved patients ' symptoms,clinical status,heart function and renal function ( i.e.the glomerular filtration rate). Conclusion In patients ...