on prednisone and spilling lots of glucose out in urine....worried

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Christine1946
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Date Joined Aug 2008
Total Posts : 5854
   Posted 6/12/2010 1:56 PM (GMT -7)   
     I am awaiting surgery for a perm ileo on June 28th.  I have been on prednisone since mid Jan and unable to come off because as soon as I get down to 7.5 mgm I start bleeding again.  The doctor increased my dose a few weeks ago to 40 mgm and I am now tapered down to 30 mgm.  I ate lunch four hours ago and just tested my urine glucose with a test strip and am concerned that the reading was 4+!!!  All I ate was a turkey in a pita pocket and some sherbet.  The sherbet does contain quite a bit of sugar.  Should I go to an endocrinologist?  This has happened before to me while on prednisone but I didn't do anything about it.  When I was able to get off the prednisone my sugar returned to normal.
 
Ulcerative Proctitis since Sept of 1998. Hospitalized for eight days.  Prednisone, Asacol, Rowasa enemas.  Two year remission. Flare..switched from Asacol to Colazal.  Two year remission.  Started 6MP in 2002.  Flared yearly from 2003 to May of 08.  Hospitalized for ten days in May of 08.  Flaring more often since.  Off 6MP. Remicade failed.  Humira failed.   Meds: Colazal, prednisone, Cort & canasa suppositories, Benicar (Blood pressure).  Surgery scheduled for June 28th...maybe sooner if possible.  Still flaring

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 6/12/2010 3:45 PM (GMT -7)   
Hi Christine, doesn't your doctor monitor your blood sugar?  Do you have a blood glucose meter?  As far as I know, the urine test strips aren't very accurate and only register when sugar spills into the urine and that happens when the blood sugar is very high.  If you have to be on the prednisone, then why isn't the doctor helping you monitor it?  The prednisone is going to elevate the blood sugar, so staying away from food with sugar and flour would certainly help keep the blood sugar more controlled in any case, but I would put your questions to the other doctor first.  Maybe others can come here with better suggestions.
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Christine1946
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Date Joined Aug 2008
Total Posts : 5854
   Posted 6/13/2010 7:35 AM (GMT -7)   
     I phoned the doctor yesterday with my concerns.  He didn't seem the least bit worried!!!  He said it is most likely from the prednisone and since my blood glucose on my AccuCheck machine read 207, which is high, but not alarmingly high while on prednisone, he just said to watch my diet.  Two hours later, my blood glucose returned to 125...so that is good.  He said he would be alarmed if it kept climbing.  This morning, my FBS read 72.  Two hours after breakfast of 1 egg, 1/2 bagel and low sugar cran juice, there was NO glucose spilling into the urine.  I purchased some sugar free items from the grocery store today and will watch my diet like a hawk!!!!
 
Ulcerative Proctitis since Sept of 1998. Hospitalized for eight days.  Prednisone, Asacol, Rowasa enemas.  Two year remission. Flare..switched from Asacol to Colazal.  Two year remission.  Started 6MP in 2002.  Flared yearly from 2003 to May of 08.  Hospitalized for ten days in May of 08.  Flaring more often since.  Off 6MP. Remicade failed.  Humira failed.   Meds: Colazal, prednisone, Cort & canasa suppositories, Benicar (Blood pressure).  Surgery scheduled for June 28th...maybe sooner if possible.  Still flaring

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 6/13/2010 8:26 AM (GMT -7)   
Wow, that's much better!  Still, 207 is too high.   You could control it even better:  don't eat bagels!   Switch to a high grain/whole berry slice of bread instead.  Bagels are dense flour food and will cause very high blood sugar, just like eating a piece of cake.  So, if you stay away from those and cut down on other food with flour and sugar, then maybe you'll see lower numbers.  Good luck!
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Phishbowl
Veteran Member


Date Joined May 2006
Total Posts : 547
   Posted 6/13/2010 8:44 AM (GMT -7)   
Unfortunately, Pred is known to wreak havoc with blood sugars. Being extra careful with diet (the nothing white but c-flower & cheese works well here), by keeping starchy carbs to a minimum, will go a long way in keeping the blood sugars more level and lowered.

I remember my first diabetic teaching class when they mentioned that the one drug diabetics should avoid if possible is Prednisone. It's a miracle drug for a number of things but the cost is elevated blood sugar. Rock and a hard place :-)

BTW, "sugar-free" really means squat. It just means glucose has been replaced with fructose, sorbitol, astartame, etc. - SOME of which can have just as much of an effect on BGLs as table sugar.

When reading labels, it's the carb content that's important. Watch the portion size, too. Being on Pred, you'll want to keep meals/snacks below 30 grams of carbs. (2 slices of bread is more than that, just for example).

Protein & fat: Meats, poultry, fish, eggs, cheese, nuts and all the salad-type veggies you can eat....is the kind of diet you'll want to follow to keep BGLs in line, especially while on the Pred.

Good luck and we're here for support if you need 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


wodin
Veteran Member


Date Joined Jul 2009
Total Posts : 523
   Posted 6/14/2010 11:23 AM (GMT -7)   
While on Prednisone for Ulcerative Colitis, I contracted steroid induced diabetes. My PCP told me that it usually resolves after a couple of months of tapering off Prednisone, but mine didn’t.

I was very sick from high BGL (>400) until she figured it out, and prescribed MetFormin for me; and I was very angry with my GI doc for not monitoring me properly.

Bottom line: when taking Prednisone, BGL SHOULD be monitored, even if it means having to buy your own monitor.
proctosigmoiditis
 
66 year old male 

DX Feb 2008

Currently in remission  since Sept 2009

Colazol 6 Grams/day

Nicotine therapy, primarily Electronic cigarettes supplemented with Commit lozenges
Contracted Prednisone induced diabetes during last flare.


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 6/14/2010 12:20 PM (GMT -7)   
Now more than ever I realize how assertive we must be concerning our own health, needing to ask questions and learn as much as we can about our treatment.  I think all too often many patients just accept diagnoses, prescriptions and care without questioning anything.  That was how I was until about four years ago when I was diagnosed as "prediabetic" when I was 57.  Fortunately we have more resources at our fingertips today to learn more about diseases and treatments through forums like this where we can share what we know.  I hope everyone is doing well today!
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5854
   Posted 6/14/2010 5:38 PM (GMT -7)   
     Still watching my diet like a hawk.  Three hours after eating lunch/dinner...broiled tilapia, 1/2 rice,  about 2T of cole slaw, my blood sugar was 151.  Two hours later down to 119.  Still seeing about a 2+ glucose in the urine though...what's with that?  Tomorrow I am going to try to taper the pred down to 20 mgm...keeping fingers crossed I don't flare. UGH...can't wait till this colon comes out and I can be off the darn prednisone, hopefully, forever.  Been on it for the better part of the last two years.  Both my parents had Type 2 diabetes but both were overweight.  I exercise am 5ft 2 in (and shrinking because of osteoporosis thanks to the prednisone too) and weigh 120.  Mother never watched her diet after being diagnosed with Type 2 Diabetes at age 42 and later became insulin dependent.  Don't ever want to suffer the way she did...eventually ending up on peritoneal dialysis.
 
Ulcerative Proctitis since Sept of 1998. Hospitalized for eight days.  Prednisone, Asacol, Rowasa enemas.  Two year remission. Flare..switched from Asacol to Colazal.  Two year remission.  Started 6MP in 2002.  Flared yearly from 2003 to May of 08.  Hospitalized for ten days in May of 08.  Flaring more often since.  Off 6MP. Remicade failed.  Humira failed.   Meds: Colazal, prednisone, Cort & canasa suppositories, Benicar (Blood pressure).  Surgery scheduled for June 28th...maybe sooner if possible.  Still flaring

 


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 5408
   Posted 6/14/2010 7:25 PM (GMT -7)   
I'll bet the rice and the cole slaw drove the blood sugar up.  If the cole slaw was store-bought, there might have been sugar in it.  In any case, if you stay away from rice, potatoes, and bread, the blood sugar probably wouldn't spike like that.  Good luck.  I know you can't wait to get off the pred. 
Lanie
 
forum moderator - diabetes
diabetes controlled so far by exercise and a low/no carb diet


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5854
   Posted 6/18/2010 12:15 PM (GMT -7)   
     Update.....I went to my family physician on Tuesday.  He put me on 1 mg of glimepiride but I am feeling dizzy today.  I ate yogurt for lunch...light...it had the aspartame in it.  I did have a bit of sherbet because my blood sugar was only 96 two hours after breakfast.
      Yesterday I had pains in the upper portion of my stomach but thought it may be just gas, but today I am experiencing it too.  I have to stay on 20 mgm of prednisone until after my surgery.  The surgeon said he doesn't want me to flare.  Oh what a freakin dilemma.
 
Ulcerative Proctitis since Sept of 1998. Hospitalized for eight days.  Prednisone, Asacol, Rowasa enemas.  Two year remission. Flare..switched from Asacol to Colazal.  Two year remission.  Started 6MP in 2002.  Flared yearly from 2003 to May of 08.  Hospitalized for ten days in May of 08.  Flaring more often since.  Off 6MP. Remicade failed.  Humira failed.   Meds: Colazal, prednisone, Cort & canasa suppositories, Benicar (Blood pressure).  Surgery scheduled for June 28th...maybe sooner if possible.  Still flaring

 


Jeannie143
Veteran Member


Date Joined Apr 2004
Total Posts : 6056
   Posted 6/21/2010 6:12 PM (GMT -7)   
Can't do much but reiterate what the others said. Try not to eat anything white and just take it one day at a time. I'm sending prayers for you. This is a rough time.
~ Jeannie
Moderator for Fibromyalgia and Diabetes

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