not diagnosed but wondering if this is diabetes

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Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5856
   Posted 9/17/2009 12:25 PM (GMT -7)   
     I usually post in the UC forum.  I have been on and off prednisone because of ulcerative proctitis since 1998.  With my recent flare I was on prednisone for three months, starting at 40 mgm and a slow taper.  Last month I noticed I was excessively thirsty and just feeling bla.  I knew the symptoms of diabetes because both my mother and father had Type 2 diabetes.  I bought urine glucose strips and was horrified when the strip turned the darkest color.  This was in the evening and I did have a piece of cake for dessert after dinner.  I called the doctor and was told just to wait until morning.  The next day when I went to my doctor, he gave me the Accu-chek monitor.  He told me this could be prednisone related as I was down to 10 mgm of prednisone at the time.  Every morning my blood tested normal for the FBS...it ranged from 75 - 90.  However, even if I had a few pieces of candy or one piece of cake, in the evening 2 hr pp, my blood sugar would soar up to 180 or there abouts.   I have been off the prednisone for two weeks now and I still get the same results.  If I stay completely away from sweets, my glucose stays within normal limits.  My husband, who is a junk food junky, tests below 140 2 hr pp.  Do I need medication for diabetes?  Should I consult with an endocrinologist?  My doctor is a general physician.  Thank you.
 
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008 for ten days.
Remission Nov 08 thru May of 09.
Slowly coming out of flare.  Meds: Colazal (6 per day), prednisone 10 mgm and tapering weekly, Cort enema nightly, Canasa in morning, Benicar 20 mg for BP, flaxseed oil 3 x a day, fishoil 2 x a day, probiotic 3 x a day, calcium with D 1x a day and multivitamin.
Doctor had me on 100 mgm of 6MP which drastically lowered my white count.  Now off the 6MP pending results of repeat white count. UGH.


Natava
Regular Member


Date Joined Jul 2009
Total Posts : 35
   Posted 9/17/2009 12:37 PM (GMT -7)   
Have a look at this Q and A.
 
(I fixed the link so it would work.)

Post Edited By Moderator (LanieG) : 9/17/2009 3:29:07 PM (GMT-6)


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 9/17/2009 12:44 PM (GMT -7)   
Hi Christine.  Sorry you're going through this.  I'm so glad you got a meter and that you're on top of things.  From what you say it seems to me that you're doing ok with the blood sugar if you don't eat that darned candy!  Or cake or other carbs.  It just may well be that you are having trouble metabolizing carbs and you've caught diabetes in the beginning stages.  Having close family members with diabetes raises chances that you could develop it too.  The way to keep your readings normal then is exactly what you figured out:  stay away from the carbs like sugar and anything made with flour, as well as potatoes.  Testing in the morning and a couple of hours after a meal will tell you how you're doing.  But could it be residual effects from the pred?  I don't know and you realize I'm not a doctor.  In any case, you're wise to monitor your blood sugar like this and you might want to keep a diary/log every day or every other day of the time and what you eat and the blood sugar reading.  In this way you could see trends.  If it does turn out that you caught this in the very beginning, then you're really really lucky and can probably control it just by diet and exercise for a long time!  I hope so!  You would probably only go on medication if your blood sugar couldn't be controlled by diet, like if it stayed elevated all the time.  And "elevated" means different things to different people:  above 125, 130, 140, etc.  Hopefully, you're still in control! 
  yeah
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 : 5856
   Posted 9/17/2009 12:53 PM (GMT -7)   
     Thank you Lanie.  I was a former lab tech and worked for an Internist/Endocrinologist for 17 years.  I know I was at risk because of both my parents being diabetic.  I sure don't want to go through what my mother went through.  She developed diabetes at the age of 42.  The doctor told her to lose weight (which she didn't) and gave her a diet to follow (which she didn't).  She lived to be 81...but ugh, what a life.  From uncontrolled diabetes, she developed kidney disease and was on peritoneal dialysis for two years prior to her death, blind in one eye and heart disease.  There is NO WAY I want to spend my remaining years in that condition.  I most certainly will be conscientious with my diet and hopefully my blood glucose will be controlled.  UC is enough to deal with...plus, prednisone already gave me osteoporosis rolleyes
 
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008 for ten days.
Remission Nov 08 thru May of 09.
Slowly coming out of flare.  Meds: Colazal (6 per day), prednisone 10 mgm and tapering weekly, Cort enema nightly, Canasa in morning, Benicar 20 mg for BP, flaxseed oil 3 x a day, fishoil 2 x a day, probiotic 3 x a day, calcium with D 1x a day and multivitamin.
Doctor had me on 100 mgm of 6MP which drastically lowered my white count.  Now off the 6MP pending results of repeat white count. UGH.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 9/17/2009 1:17 PM (GMT -7)   
Ugh, I understand completely.  My mom also had diabetes.  She didn't stop smoking and didn't watch her diet.  Of course in those days, 20 years ago, they didn't know about diet as they do now but still.......  and it killed her after they had to amputate her leg to her knee.  So, I'm also determined not to follow the same path.   Good luck.  Hope you can nip this in the bud then! 
Lanie
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds
                                                                 

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