Asthma is an inflammatory disease, which causes air flow limitation and increase insulin resistance. The present study will carry out in order to investigate insulin resistance and the effect of inhaled corticosteroid (ICS) on insulin resistance in asthmatic patients.
the patients with age over 15 years, stage2 or 3 asthma, FEV1 above 60%, no previous use of oral or inhaled corticosteroid and no history of diabetes will participate in this interventional, quasi-experimental study and patients with history of diabetes or malignancy, pregnancy, acute infection, endocrine disorder, taking any medication that affects glucose metabolism, obesity (defined by BMI≥30 kg/m2) and sleep apnea excluded. Spirometry, fasting blood sugar, BS2HPP, HbA1C, LDL, HDL, Insulin Level, and CRP will measure both at the base line and after two months of treatment. Then impaired fasting glucose (IFG) will examine, and HOMA-IR will calculate. patients will receive symbicort inhaler with dose 320 microgram every 12h for two months.