Diabetes caused by high dosage of Prednisone

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Marie A.
New Member


Date Joined May 2008
Total Posts : 5
   Posted 5/28/2008 3:12 PM (GMT -7)   
My husband has been on 80 mg of prednisone for eight months and has developed diabetes from it. He has now been tapered off, over the last two months to 10mg but the diabetes is still very rampant and is not getting better. The blood glucose is very erratic; he may wqake up with a 5 and after eating the same breakfast of oatmeal it can vary from
8 to 16 after two hours. To-day he has two toast with a crab cake and salad and he was high 4 hours afterwards. Does anyone have this experience or anything to add to this?

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/29/2008 7:37 AM (GMT -7)   
Steroids can cause real problems. Try eliminating all obvious starches including oatmeal (and the binder that makes crab cakes), bread, potatoes, rice, pasta, anything made from grains for about two weeks. Substitute lots of fresh vegetables sautéed in olive oil with a little garlic, or canned veggies with mushrooms added and a touch of butter. Stick with salads, fresh veggies, lean meats, cheeses, olives, nuts, avocadoes and very limited fruits (NO JUICES except V-8) for two weeks and see if it helps his numbers drop dramatically. It's called the "nothing white except cauliflower" food plan and it has helped many here.

Let us know how it goes, ok?
~ 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


Marie A.
New Member


Date Joined May 2008
Total Posts : 5
   Posted 5/29/2008 12:45 PM (GMT -7)   
Hi Jeannie,
Tks for your reply. My husband, Steven, is very willing to try your advice. I shopped for a lot of veggies. We have a question;
what about skim milk, cheese and yogurt? Also we love wild rice, which is dark brown.
I laughed when I saw your website since the wedding cake is all white!!
 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 5/29/2008 1:42 PM (GMT -7)   
Hi Marie, as Jeannie said, avoiding the obvious carbohydrates will help control the blood sugar.  Wild rice might be ok for you but your husband will have to test his blood sugar afterwards to see how it's affected.  Cheese is fine, but be careful of the processed cheeses because they may have a lot of carbs.  Always check the labels.  Milk, no matter what percent fat, has carbs and again he has to check his blood sugar.  Same with yogurt.  Meat/chicken/fish are all fine.  Vegetables and salads are fine but no corn or potatoes.  Be careful of the condiments if you use them:  most ketchup has sugar.  So, if he uses tons of ketchup, he has to cut back.  Check the labels of mayonnaise.  Some have lots of sugar.  I buy a store brand of "classic" mayo with no carbs.  As always, he has to test his blood sugar to see which food drives it up.  You already know carbs will do that, so be careful with fruit.  That will do it too.

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


Marie A.
New Member


Date Joined May 2008
Total Posts : 5
   Posted 5/29/2008 4:37 PM (GMT -7)   
Hi Lanie,
Tks for your reply. I have spend most of to-day dealing with food for my husband. After a no carb lunch his sugar was fine at 5pm. To-night we had some mussels cooked in white wine and a few local asparagus, no sauce. We'll see what happens to-night. I will keep y'all posted!
marieA
 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5406
   Posted 5/29/2008 5:34 PM (GMT -7)   
Hmm, Marie, sounds like a nice dinner.  That's the way to go.  A typical dinner for me would be a piece of meat or chicken or fish maybe in a butter/garlic/wine sauce, with sauteed vegetables and a small salad with oil and vinegar or lemon juice dressing and a glass of white wine.  A dinner like that will always keep my blood sugar "normal" - but if I overeat, like have two servings of all of that, I'll feel stuffed and my blood sugar will also be higher than what I want.   So moderation is also important, but since we're all different, we have to test to see how these different foods affect us.  So, let us know how it goes..... we're waiting!  :-)

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 5/29/2008 11:41 PM (GMT -7)   
Hi:)

I am also coming down from high doses of prednisone and it caused diatetes2. I am currently on 10mg also. I eat the nothing white but cauliflower diet and it is the only way I can keep my blood glucose in check. This diet and this forum with advise on how to eat literally saved my life:) I can't eat any milk or milk products except for cheese, Greek yogurt and a new yogurt I found called carb and sugar control by Light and Lively. Any flour or starch products also cause a fast high to gb levels. I can't eat fruits either, they are the worst for me. I mostly eat eggbeaters, chesses, the yogurts, tofu and lots and lots of salads. I am mostly vegan now but will have chicken once in a while. Fish and other seafood is also a good choice. I keep my bg at 70 to 100 at all times this way. I have also now lost 100 pounds. I will start 5mg of the pred soon and my endo wants to run tests to make sure my adrenal gland is still working and not shut down from the pred. Nasty med is the pred. I do not think I will ever take it again unless it was a clear pred or death situation. I will try everything else first. I wish I had more info on it before I took it.

What meds are you taking? I take Metformin 1000 twice a day and Lantus 28 units at night. This combo works for me. I think I need less meds now(see dr. next week). The diabetes may be controlled without meds once off pred but we will see. Good luck and take care:)

Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/30/2008 7:51 AM (GMT -7)   
Marie,
The dinner is great but I would add another veggie or salad and pop a dab of butter on the asparagus. He needs monosaturated fats (olive oil, peanuts, mayonnaise, avocado, olives, etc.) to lower his LDL's and raise his HDL's , slow stomach emptying time and give a feeling of satisfaction as well as enhance the absorption of the fat soluble vitamins, A, D, E and K in the lower intestinal tract. Don't be afraid to put some fat into the food plan. Also, small amounts of real butter add excellent flavor to ho-hum veggies or you can add garlic, mushrooms or onions to veggies to kick them up a bit.

I like to toss peppers, zuchinni, summer squash slices and other veggies in olive oil, sprinkle them with garlic powder (not salt!) and grill along with my chicken breast or pork loin slices.

As I said before, skip the rice until you have a handle on his sugars. Any reading over 8.3 (150 American) more than two hours after a meal is causing permanent damage to his eyes, kidneys and other major organs and blood vessels. This is why we push the low carb meal plans. You get a slow rise in levels and it stays at a moderate level as food is absorbed. Adding fats to the menu sort of makes the food "time release" in your intestines, slowing down the carb dump from the veggies. The whole idea is to keep the numbers as level as possible without big spikes and lows.

Hope this helps.
~ 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 5/30/2008 11:43 AM (GMT -7)   
Hi Amelie,

Glad you made it over here! Everyone here was so helpful to me. Also one thing I absolutely love is portobello mushrooms sauteed w/garlic, lemon and white wine. I can't seem to get tired of it. Also the greek yogurt with 1/4 cup of pineapple and raspberries was delish!

Ceebee that is great that you lost 100 pounds and that your sugars are good!!
Beth, 32 ~ small flare - hoping caused by aspirin - hydrocortisone e's
Major Flare Sept/Oct 07
UC dx'd 03/00 (Proctosigmoiditis); Pancolitis since 09/07
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd 09/07 - partial remission since 03/08
Prednisone 5mg 1xday (tapered from 60 = ), Simvastatin 20mg 1xday, Diovan 160mg 2xday. Enalapril 20mg 1xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.  Do you have edema? If so, check your blood protien level!
 


Marie A.
New Member


Date Joined May 2008
Total Posts : 5
   Posted 5/30/2008 11:57 AM (GMT -7)   
Hi ceebee and jeannie,
Today's breakfast was cashews and some cantaloupe chunks, not much, a banana 2 hrs later. A late lunch made with an omelette, oliveoil, eggbeaters, lean fried pork slice, green pepper, tomato, onion mmmmm I liked it too. Numbers good sofar. Strange that the "specialists were pushing the brown bread and we think that that german bread really spiked him.
I am grateful for any input.
Amelie/Marie
 


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/30/2008 12:21 PM (GMT -7)   
The "specialists" only spent about 15 days on nutrition in medical school. If you want him to live well, keep his sight, his legs and your love life this is the way to go. Whenever he needs a prod just remind him that high sugars are the leading cause of erectile dysfunction. THAT usually gets the guy's attention! tongue

Hint: Put a nut butter on the banana. I use peanut butter but almond or hazelnut will work, too. Or just eat some nuts with the banana. Really helps level out the fructose in the fruit.
~ 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


Marie A.
New Member


Date Joined May 2008
Total Posts : 5
   Posted 5/30/2008 12:47 PM (GMT -7)   
This may surprise you but.......he started last year with a NUT grove!! He already has over a 100 nut trees planted. These are mainly edible walnut trees, one and two year old but there are a few pecans (special cultivars for our northern climate) and 5 gingko trees. The nut trees can be organically grown as they don't need spraying and the only
problem can be squirrels. Steven is an optimist at 71 yrs as these trees won't start bearing until 10 years from now.
As far as the "dysfunction" is concerned that is not a priority at the moment; getting better is, but thanks for the tip.
Amelie
 


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 5/31/2008 6:06 AM (GMT -7)   
Marie,
Wow! What a positive thinking man! Nut grove... how cool!
~ 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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