G'Day & welcome!
Would you consider insulin? Just a suggestion before I ask what your diet is like
It may be a way to see your BGL levels into some sort of 'normal' zone without the dozens of side-effects drugs can have. Insulin is a hormone not a drug. It doesn't cause any number of chemical reactions (side-effects) that drugs do. It supplements what your body already makes. Just something to consider.
Prednisone is a wonderful and powerful drug but it's side effects can be disastrous for diabetics; high blood sugar is almost to be expected. High 300's is most definitely too high, even for someone on Pred. Gotta get that down somehow; it's causing damage..
Not familiar with Prandin but, from what I read, it seems to cause one's pancreas to produce insulin quickly so as to have it present in the blood by the time the food hits the stomach. Sounds to me like the pancreas would take a beating if on this drug for any length of time (just my opinion). One of the things it doesn't seem to do that Metformin did was handle any insulin resistance (IR) issues you might have. Met makes the pancreas produce more insulin, too, but it also helps the resistant cells that need the insulin to "take it up" so to speak. Met seems more like a background/ long-term approach, while Prandin seems like, well, like an oral insulin shot
One of the hardest and best things you can do for yourself with both diabetes and UC is to establish a regular diet. Do you have a regimen? What you eat can make a huge difference in BGLs.
- 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