pre diabetic - need diet help please

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Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/10/2008 12:59 PM (GMT -7)   
Hello,
 
I am new to this message board but not chronic illness and healing well.  I have had ulcerative colitis for 8 years and from taking the medicine for that I got minimal change disease (kidney disease which can hopefully go into remission) and now because of the prednisone I am taking for the minimal change disease I am now pre diabetic, apparently pred can cause type 2 diabetes, my Nephrologist (kidney doc) told me my sugars were a little high and not to eat any bread and avoid simple sugars.  I'm not sure what those exactly are?  Is it ok to eat fruit, how many carbs and sugars are diabetics allowed daily?
 
Thanks in advance for your help and suggesstions.
 
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 2/10/2008 10:49 PM (GMT -7)   
Hi:)
I have prednisone induced diabetes type 2. I follow a diet I learned here...nothing white except cauliflower. I can't eat any fruit or my blood sugar levels really spike but many people here can eat fruit in moderation. I stay away from all bread, pasta...just all foods with flour or sugar in them. I eat meat, eggs, cheese and nuts for protein. Lots of salad and vegetables(except peas, carrots and corn as they have more sugar content). Everyone is different. Any carbs raise my levels fast. Plus, the pred also raises glucose levels. Do you have a blood testing monitor? I learned to eat a food and test an hour, two hours and three hours later to see what it did to my blood levels and what was safe for me to eat. I really avoid all carbs except what is in some vegetables. Wait until Lanie gets here as she is such a help in this area. You are lucky to be diagnosed early. I didn't get diagnosed until my glucose level was 878 and I was put in the hospital and almost died from it. I am still on pred but hope to be off soon. Please really watch for spiking glucose levels carefully. Take care:)

Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/11/2008 7:24 AM (GMT -7)   
Ceebee, thanks and sorry to hear that you got this from pred and that you were put in the hospital and everything that sounds horrible, my Nephrologist says if I do become diabetic b/c of the pred, the diabetes can go away after coming off of it. Did you have any info about that?

Thanks for the info, it seems like you really have a good handle on this to know what you can and can't eat. I don't have a blood testing monitor, but I am going to avoid carbs this month, I have another blood test coming up next month and will see what my sugars are, I don't even know the #'s, he just said they were slightly eleveated and to cut out carbs, breads and simple sugars.
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 2/11/2008 9:07 AM (GMT -7)   

Hi Beth, Ceebee is a good source for information since you're both taking prednisone.  Avoiding food that has carbs will help control your blood sugar while you're on pred and hopefully you'll be able to come off it eventually and get back to your normal diet.  Ceebee described a food plan that's low carb which is a basic way to keep blood sugar to more normal levels.  You'll have to use your judgement about what to eat so you don't creates UC flares.  Since you don't know what your blood sugar readings are and the doctor says they were only "slightly elevated", you might be able to eat whole grain products or fruit along with all kinds of meat and the vegetables that are not full of carbs.  Basically those vegetables on the no-no list would be potatoes and peas, then root vegetables like carrots and sweet potatoes - although since these last two have fiber, you might be able to eat them and do ok.  It's hard to say since you can't monitor your own blood sugar after you eat.  Starchy vegs like beans also have fiber but may cause a slow rise in blood sugar.  If you're going back next month for another blood test, if I were you, I'd stick to meat, cheese, eggs, low-carb vegetables and leafy greens if you can eat them and see how your tests come out.  Too bad patients can't be given "loaner" blood glucose monitors while they're on pred.   This would tell you how the flood affects your blood sugar.  The "no white food diet" (except cauliflower) means no bread, cake, cookies or anything made with the word flour in the ingredients, no sugar in any form and no honey, no rice or potatoes.  This is strictly low carb.  As I said before, though, you might be able to eat whole grain products and do fine.  Some people can eat natural fruit.  Sorry you've got these complications from the meds you have to take.  I hope everything is resolved soon!  :-)



Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

Post Edited (LanieG) : 2/11/2008 9:10:29 AM (GMT-7)


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/11/2008 9:28 AM (GMT -7)   
thanks Lanie for the information, I really appreciate it. The only things that really exacerbate my UC symptoms are things that have caffeine and a lot of fiber, other than that I am ok and have a salad almost every day for lunch. I'll watch the veggies too. I do exercise and am going on vacation soon and will be upping that to 5 days a week on the elliptical so hopefully that will help too. Can't have cheese b/c I need to watch my salt and I love cheese w/a side of cheese! I bought eggs so will be having those for bfast. Thanks so much!
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 2/11/2008 9:39 AM (GMT -7)   
Beth,
If you have insurance ask your doctor to please write you a prescription for a meter and testing kit. Trying to manage your prednisone-induced diabetes without a meter is like trying to drive your car through a speed zone at night without lights or a speedometer. You can't see where you are going and have no idea how fast you are getting there.

My diabetes was low level for many years and I wasn't really diagnosed until the AMA lowered the numbers for diagnosis. In the meantime I have suffered some kidney impairment, eye changes and have mild neuropathy in my feet. If I could go back and do it over again I would have learned about the low carb diet long ago. What I didn't know until I took my diabetes classes is that any time my blood glucose is over 150 two or more hours after a meal I was doing permanent damage to my eyes, kidneys, blood vessels and the nerves in my extremities.

While I can't undo the previous damage I can stop doing it in the present. You can do this, too. I know how scary this diagnosis is but I pray that you don't make my mistake and just 'coast' for a few years hoping it will go away. I now wear glasses... and really got the wake-up call when I had to have four of my toenails removed. Poor circulation caused them to grow strangely and they cut into the skin on my toes. I got infections that wouldn't heal and there you go... I was lucky that I didn't get gangrene and loose my feet. I know this now... didn't then. If I'd been testing my blood sugar all those years it would have been running in the 125 to 180 range all day long. At the time I didn't think that was so bad. Now I know better and work hard to keep it down.

I don't mean to write a book here, but I want you to be able to start taking control of your blood glucose. There are several ways to keep it down.
1) Don't eat grain based foods, i.e. wheat, rice, corn or anything made from them
cereal, pasta, noodles, crackers, cookies, cakes, snack foods and chips
2) Don't eat tuber based foods such as potatoes & carrots or anything made from them
3) Substitute vegetables for starches. I cut up cabbage in thin strips and use this instead of noodles in my soup.
I use spaghetti squash in place of pasta. I slide the top of the pizza off the crust, dice it and put it over salad making a 'pizza' salad. No bread from the crust and lots of raw spinach and romaine lettuce for vitamins.
4) Walk about 1/2 hour a day. You can do this by walking away from your home for 15 minutes and then walking back. I used to go park in a different ritzy subdivision each morning, walk away from the car for 15 minutes looking at all the lovely homes and then walk back to my car.
5) When you must have something sweet, make it a square of really good chocolate. (Just one!) The high fat content of the chocolate will help spread the absorption of the sugars over time, helping lower the spike a bit. This is not permission to snarf chocolate.. just a suggestion if you are craving something and about to loose your mind.

Read back in the posts and see what others have done to help control their sugars. And please get a meter. Your doctor is not the one who will suffer the ill effects of your high numbers, you are. I hope we can help you through this.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/11/2008 11:25 AM (GMT -7)   
Hi Jeannie, thanks for the info, the more the better! I think I may invest in one of those blood meters, I am going to call my Doc to find out what my blood sugar was, I should have asked (and I always bring a notebook with me too!). You are absolutely right about the doc not having my illness, I need to be my own advocate (my MCD was undiagnosed for 7 years, I knew it was something but the Doc's couldn't pinpoint it).

What about wine and vodka, I do like to have some cocktails on the weekends, do those have sugars and carbs in them?
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/11/2008 11:58 AM (GMT -7)   
I just called my Doc's office to get the scoop on my blood sugar level.

Nov - 104
Dec - 113
Jan - 155

hope the no carb, no sugar and exercise helps me.
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 2/11/2008 9:13 PM (GMT -7)   
Hi Beth:)
I have to really watch what I eat after I take the pred for about 4 hours and then the blood glucose level evens out. Any carbs at all in this time frame can raise my #'s fast and high. I take the pred when I wake up so have eggs with cheese for breakfast and a salad for lunch. If you start to lose weight fast and get thirsty all the time, get to the doctor fast. I was dropping 5 pounds a day while eating and drinking more and more. I thought it was the pred but it was actually the diabetes. It can happen fast. Prednisone induced diabetes seems some different that the regular type 2. I can get a drop or spike in glucose levels fast for no rhyme or reason and watch very carefully. I'd test every hour if the doctor would give me more test strips!LOL There is a meter that only costs about $20. It is the test strips that really cost. I test 6 times a day and it costs about $200 a month. Insurance usually covers the test strips and lancets for sticking fingers. If you have insurance, you will probably be covered. Good luck. Take care:)

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 2/12/2008 7:42 AM (GMT -7)   
If it would help you all, I have no insurance so I bought a meter that uses AA batteries. It seems to be fairly accurate, was inexpensive, and best of all, the strips are inexpensive, too. If you go to this link

Meter and 300 strips for about $105.00

Everybody wants to "give" you a meter so you will be roped into using their buck-a-piece strips. The Prestige IQ strips are only about 30ยข each. I've found this to be the least expensive way for me to go.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross


Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/12/2008 9:50 AM (GMT -7)   
thanks so much.  I enjoyed my egg and cheese omelete this am, it came out pretty darn good too!  Used 1 egg + 2 egg whites (don't want to up my cholesterol = ) & shredded parm cheese, I have decided to become the best omelette maker I can be.
 
I do have insurance, thanks Jeanne (I have been without before and it is very difficult), I am going to ask the Doc to write me a script for those.  In the meantime my father in law is Diabetic so I am going to try to swing by to check out my sugars this weekend.  (Every now and then he checks my husband and he is fine = )
 
I am pretty sure, that I had a couple glasses of fortified cran/raspberry juice right before those tests (from an hour before the tests up until I got out of my car at the Dr's office so the test was probably done about 20min after), I remember I drank extra the last one because I have to do a urine test each time and try to drink extra in the am so I don't have a problem going when I get there.  But I think I was drinking juice before all my tests anyway so maybe juice is not a factor??? I know I did drink a lot more for my last one.
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 2/14/2008 7:17 PM (GMT -7)   
Hi Beth, you had mentioned wine and vodka in a previous post.  They're fine to have as long as the wine is not a fortified wine like sherry or vermouth and the vodka isn't mixed with fruit juice.  Remember:  all fruit juices have natural sugar.  We probably used to think that since there was no sugar added to the juice that it was good and healthy.   Well, if you're insulin resistant/diabetic, fruit juices will raise your blood sugar.   Regular white or red wine is a good choice.  Alcohol like vodka is ok but, as I said, be careful what you add to it.  Diabetics who are on meds have to be careful of lows if they drink alcohol. 

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 2/15/2008 1:51 PM (GMT -7)   
I forgot to ask if wine is okay at the doctors. Think I can try some and see? Why does wine lower bs? So, if a person was high on bs, wine would lower it naturally? Thanks:)

Beth75
Veteran Member


Date Joined Jul 2007
Total Posts : 2142
   Posted 2/15/2008 2:22 PM (GMT -7)   
also wine has 100mg of potassium for white and 180mg for red. I enjoy a glass a few times a week and I need potassium anyway.

Also, w/vodka when going out I usually like to get it with diet coke and a lime, so no added sugar there and the summer I like a cape cod (vodka and cranberry juice) but cant have that now.

All in all, I have lost 5 pounds since last week doing the low carb/sugar diet. I think a few of that is water b/c I started taking the fursomide and my edema in my ankles and calves has gone down somewhat (still not normal from the pred and my kidneys).
Beth, 32
Major Flare Sept/Oct 07 ~ no blood since Dec 07 ~ almost normal bm
UC dx'd March 2000 (30 cenitmeters as of 2005-proctosigmoiditis)
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd Sept 2007
Prednisone 40mg 1xday, Simvastatin 20mg 1xday, Diovan 160mg 2xday. Tekturna 150mg 1xday, Fursomide 20mg 1xday.  Potassium 100mg 2xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.


fergusc
Regular Member


Date Joined Dec 2005
Total Posts : 230
   Posted 2/15/2008 5:38 PM (GMT -7)   

Oh yeah, wine is a great ally in the endless quest for normal blood sugars.

It has an many effects on the liver (!) one of which is to inhibit gluconeogenesis (the production of blood sugars from raw materials other than glucose). In my experience, a glass or two in the evening pretty much guarantees me normal blood sugars first thing the next day.

Slainte! as we say over here.

All the best,

fergusc


ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 2/15/2008 11:26 PM (GMT -7)   
HMMMM, going to try the wine. I love white and red:) Haven't had any alcohol in months. How about rum, gin, ect.? Like in only one drink? How about a Martini with some diet 7-UP and the true lemon? Thanks:)

fergusc
Regular Member


Date Joined Dec 2005
Total Posts : 230
   Posted 2/16/2008 5:45 AM (GMT -7)   
My only advice would be not to have them all at once in the same glass, ceebee.
Sounds like it'll be quite a night round at your place though. Do you have any Scottish ancestry at all?
 
Cheers,
 
fergusc

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 2/16/2008 8:13 AM (GMT -7)   
Ceebee, check to see the sugar content in the alcoholic drinks.  There are places online that give that information.  I'd also check with your doctor (or pharmacist), and find out if alcohol would cause any reactions with the meds you're taking.  You just have to make wise decisions, test your blood sugar and not go overboard.  (Well, if you're on a boat, that would be dangerous, wouldn't it?)  I guess the Scots like their haggis pickled, Fergus?

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


fergusc
Regular Member


Date Joined Dec 2005
Total Posts : 230
   Posted 2/16/2008 12:09 PM (GMT -7)   
And our livers, Lanie.

ceebee
Regular Member


Date Joined Dec 2006
Total Posts : 401
   Posted 2/17/2008 1:08 AM (GMT -7)   
Hi:)

Not a Scot in the family. Dutch and German...SHHHH, Gramps used to make his own moonshine and wine:)

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 2/17/2008 9:22 AM (GMT -7)   
My grandparents made wine.  I used to make limoncello.  :(

Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 2/18/2008 9:36 AM (GMT -7)   
HypoCoach said...


I am somewhat restricted by the no links to sites where you gain rule. If you would like to get a book that is comprehensive as to diet & control email me offgroup.


HypoCoach,
Welcome to HealingWell. We appreciate your input but I am puzzled by your above quote. Are you the author of a book that helps peeps with low blood glucose problems and so can't share the name of the book?
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross

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