I have predisone induced diabeties and I need help.

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coolyellowninja
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/13/2009 7:07 PM (GMT -7)   
I have prednisone induced diabetes and I need to figure out how to get it under control. I am on 60mg of predisone a day. My doctor has given me an insulin scale that runs from 70-400. My numbers are running high in the 300-350 range. I am clueless what I should eat to keep my numbers lower. I am constantly hungry like I'm stoned. I had a bone marrow transplant because I had Acute Lymphatic Leukemia. Now I have graft vs host disease. It affects my ability to process food period and I am loosing a lot of muscle mass. I have talked to my doctor and she says I need a high protein, low carb, low sugar diet. What does that mean I can eat? and eat a lot of? I don't mind if I gain weight and what I want is to have is more energy. I used to be an athlete and I don't feel good if I'm not able to stay pretty active. although now I'm pretty week and can barely climb stairs. I am struggling please some one help me

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 1/15/2009 2:10 PM (GMT -7)   
Hi cool,

Sorry to hear about your woes with prednisone. It truly is one of the drugs we diabetics try really hard to stay away from. It makes trying to control blood sugars a real challenge.

Protein and carbs will give you energy and keeping to a low-carb diet (as low as you can go), will help keep the blood sugars in check. You're doc is right on the money.

What can you eat? Make your meals as fresh as possible. Fresh meat/fish/eggs/beans/tofu/chicken for protein, fresh veggies (all except corn, potatoes and watch the carrots & peas) for carbs, fresh fruit for carbs, and skip the grains/starches entirely if you can. Pasta, rice, breads, anything made from flour all fall into this category. Processed food is out.

What can you eat a lot of? Most salad greens & sprouts, many veggies, sugar-free jello & pudding, and maybe a few more things; mostly sugar-free products. The whole thing about keeping blood sugars normalized is eating balanced meals. There's not much "a lot" of anything. Doesn't mean it can't be had but there's a way to go about it :-)
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


coolyellowninja
New Member


Date Joined Jan 2009
Total Posts : 3
   Posted 1/15/2009 3:18 PM (GMT -7)   
Thank you, thank you, thank you. Still confused, I ate for breakfast a bowl of oatmeal with raisins, a banana and a glucerna. At lunch my number was 89. That is good right? At lunch I had 1/2 can of Cambell's Gumbo soup and added vegetables 1/2 cup and 1/2 an apple. The gumbo had rice but that should be o.k. shouldn't it? My biggest problem is I want to eat a lot. The second is I don't like salad. and I like to eat things that have carbs like grains (Cherrios, Oat meal) bread (a roast beef sandwich cheese) , pasta (Spinach raviolis with pasta suace)and rice (Teriakey chicken bowl). This is what i'd like to eat in one day. Is it bad? I love meat & eggs. fruit I like, Banana, apples, oranges, grapes. The veg i like, Carrots, peas, lima beans, cooked spinach, stir fry mix, tomatoes, green peppers. I also eat Milk, strawberry yogurt, Swiss cheese. mozzarella, cottage cheese, sour cream. O.K. this is what I have in my fridge. Is it all bad, should I be rationing these or am I just eating too much period??

Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 1/15/2009 5:54 PM (GMT -7)   
Another one of Prednisone's ugly side effects is that is makes you feel hungry. Carbs, like those refined carbs many of us are so fond of, also have the nasty side effect of leaving you unsatisfied and wanting more. Eating the refined carbs is a vicious cycle of constant hunger.

What are refined carbs and what should you avoid? Unfortunately for you they are the things you seem to enjoy eating: grains/breads, pasta, rice, milk, basically anything made from flour. You should avoid heavily-sugared sauces like terriyaki. Watch the sodium in canned soups and pasta sauces (very high in carbs, too). Bananas, oranges, and grapes have some of the highest levels of sugars of the fruits. Usually HALF a SMALL banana, apple or orange is considered a portion. The veggies you like have also some of the highest levels of sugar: carrots & peas.

I guess the best thing you can understand about the food you're eating is the portions of them. Your before lunch BG level is on target with the 89. What are your numbers before or 2 hours after dinner? Before bed? The food you seem to eat later in the day is the kind of food that would have a bigger impact to your sugar levels than your breakfast.
Cheers,
- Phishbowl (Type 1 since Jan'05 - Levemir, NovoRapid)
"What's Not Measured Is Not Managed"

"It is impossible for a man to learn what he thinks he already knows"-Epictetus


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 1/15/2009 6:58 PM (GMT -7)   
Hi coolyellowninja, as phishbowl said, there's a vicious cycle with carbs and that is they make you hungry for more carbs and just make you plain hungry.  The best way to help yourself and to help lower those blood sugar numbers is to understand what foods (besides the predisone) are making such high readings.  Are you testing your blood sugar about 2 hours after you eat?  If your doctor told you to eat a "high protein, low carb" diet, this would mean a portion of meat/chicken/fish with veggies.  If you don't like salads, eat cooked fresh spinach, bell peppers, broccoli, eggplant, cauliflower, some okra.  Or, along with cooked vegetables, cut up some of these and eat them raw.  Pieces of raw bell pepper, broccoli, cauliflower, a few radishes would help fill you up along with dinner or for snacks.  It takes longer to metabolize or process raw veggies which helps keep the blood sugar from spiking.  Eat eggs, nuts and cheese for protein but keep the portions small and spread throughout the day.  Eat a roast beef "wrap" in a large lettuce leaf or between two cheese puffs (these are 2 slices of processed cheese microwaved on a freezer paper for 1 1/2 minutes to make a crispy slice of bread substitute).  The breakfast you described is very high in carbs and will make you overhungry later.  Don't eat a whole piece of fruit but cut it in half and have some cheddar cheese with the apple slices or peanut butter with the banana half.  Above all, test and keep a journal of food and your blood sugar so you can see trends. Good luck!
yeah
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

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