UC patient on prednisone. Blood glucose meter reading 237 this evening two hours after dinner.

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Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5854
   Posted 8/21/2009 5:25 PM (GMT -7)   
     I am a veteran member of the UC forum and have never posted on the diabetic forum before.  I have been on and off prednisone for eleven years, as long as I had UC.  Last year I was hospitalized for ten days with the UC and while hospitalized was put on IV steroids which increased my blood sugar and I was given insulin.  After I got off the prednisone, my blood sugar levels returned to normal.  I am once again on prednisone, since June 11th when the doctor started me at 40 mgm.  I am now on a slow taper...10 mgm one day and 15 mgm the next.  A few weeks ago I started to have symptoms of diabetes (both parents had Type 2 diabetes).  My family doctor gave me an Accu-Chek monitor a few days ago.  My fasting yesterday was 87 and two hours after lunch it read 114.  Today, I skipped the fasting and decided to just test it after dinner (I did have a very small piece of cake for desert but only soup and crackers for dinner).  The monitor reads 237!!!!  This really scares me.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5402
   Posted 8/21/2009 5:46 PM (GMT -7)   
Hi Christine, it's hard to say what caused the high reading of 237.  Seems like you've got double whammies with the prednisone and a family history but that fasting of 87 is great!  The cake and crackers could have given you the high reading, especially in combination with the prednisone since you're still taking it.  Some soups, especially commercially prepared ones in cans or packets, have a lot of carbs because of the "fillers", so that meal could have pushed you over into that high reading.  The best I can say is to cut down more on the carbs, eat more vegetables and protein, get some daily exercise in - and ask your doctor for some guidance. You might be insulin resistant - borderline - which means you could control the blood sugar by just diet and exercise once you get off the prednisone.  It's important that you're aware of this and bless your doctor for having you monitor your blood sugar!  

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


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5854
   Posted 8/21/2009 6:16 PM (GMT -7)   
     Thank you so much for your reply.  I was as healthy as a hawk till reaching the age of 52 when the UC hit.  Since then I have developed osteoporosis and high blood pressure do to that dreaded prednisone.  Now I have another worry with the increased blood sugar.  UGH!  My mother was insulin dependent but had she watched her diet when first diagnosed at age 42, she would have avoided much suffering.  As it happened, she NEVER watched her diet, had to go on insulin, still ate junk, loss eyesight in one eye, lost a kidney and was on dialysis the last two years of her life but lived to be 81.  Dad developed diabetes in his late 50's.
     I sure will cut out that junk food.  Guess I now have to look up diets for diabetics.  Being on a diet for this UC is hard too....low residue.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.


bbheli
New Member


Date Joined Aug 2009
Total Posts : 3
   Posted 8/21/2009 7:47 PM (GMT -7)   
Did you check it again. Sometimes the meters make mistakes. Some meter also just dont measure accurate. If you get a high reading dont check from same finger and dont milk the finger and make sure hands clean. Sugar and other stuff on hands will make it high also. Always check twice if the reading is high or low and check a two hours later see if it went to normal range. This sounds like pre diabetes if noit an error because you had a normal fasting. You can stave off with proper diet and close monitoring. Crackers are high on the GI index and will turn right to sugar in the blood as will cake. Also meds can have an effect.

Fruitcake
Regular Member


Date Joined Aug 2006
Total Posts : 112
   Posted 8/21/2009 8:02 PM (GMT -7)   
Hi Christine,
this is my first time to checkout this forum. I have gone from colitis to crohn's to ostomies in the past two years. I had the same problem you
did with predinsone. I was on such high doses for such a long time I developed high blood sugar and was given insulin in the hospital. I had my
colon removed two years ago and have been totally drug free since that time. I can now control the blood sugar with diet. One thing they don't
tell you when you are treated for colitis or crohn's are what the long term side effects of the drugs are. The other hard thing when I had active
colitis and crohn's was what to eat. The low residue diet is mostly white carbs wrong thing for blood sugar. There is a cook book called One Bite
at a time. It was a cook book put together for cemo patients but is a great resource for colitis and crohn's patients to. It helped me a lot.
Good luck. Fruitcake

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5854
   Posted 8/22/2009 12:37 PM (GMT -7)   
     Thanks fruitcake....funny name wink .  I saw a GI surgeon last year after my hospitalization and he said he didn't think my condition warranted the surgery.  He considered it mild/moderate....hate to see what severe is.   My fasting blood sugar was normal at 7am this morning...87.  Two hours after breakfast of 1 egg, 1/2 Eng muffin, 3 strips of turkey bacon, small glass of cranberry juice (no sugar) and 1 c of decaf with sweet and low  the reading was 114.  For lunch I ate 1/2 turkey sandwich on white bread (cannot tolerate wheat bread while still in a bit of a flare),  a few baked Lay's...about 6 chips and 1/2 gl diet coke.  Two hours after lunch...reading of 130...still good but going up.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Meds as of June 09: Colazal (6 per day), 6MP (50 mgm), Probiotic (upped to 3 per day), Fish oil capsule, calcium, multivitamin, Cort enema nightly, Canasa in morning.  Also taking Benicar and Toprol to control high blood pressure.  Getting old is a b****.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5402
   Posted 8/22/2009 2:08 PM (GMT -7)   
Christine, between the UC and the blood sugar concerns, you remind me of the guy spinning those pie plates on those long sticks!  Those readings after what you ate aren't that bad actually.  :-)    If you're hungry, you could eat 2 eggs with the rest of that breakfast.  And you could add a small salad or salad food to lunch: little slices of cucumbers and tomatoes with a dab of mayo, some olives and a wedge of cheese.  Personally, I'd give up the potato chips.  Potatoes in any form are very high in carbs and will give you high blood sugar readings.  There are baked veggie chips available in some supermarkets.  If you can keep it all as you describe in your last post, I wouldn't be too worried, especially since you're tapering off on the prednisone.  Good luck.
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 

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