pre-diabetic numbers?

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nasalady
Veteran Member


Date Joined Sep 2009
Total Posts : 1176
   Posted 9/11/2010 7:02 PM (GMT -7)   
I just got back some blood work that show that I have a fasting glucose level of 110 and an HgbA1C of 6.1. Are these in the "pre-diabetic" range?

I've been on prednisone for more than 2 years now because of multiple autoimmune diseases and have been afraid of this.... my dad had RA and developed diabetes after taking pred for a while.
Lyme Disease, Babesiosis, Ehrlichiosis, Bartonella, EBV, CMV, AIH, Hashimoto's, lupus, fibro, RA, celiac disease, asthma, psoriasis, Raynaud's, hypertension, osteopenia, sleep apnea, RLS, GERD, DDD, L3-4 and L4-5 radiculopathy -> severe lower back pain, cubital tunnel, tarsal tunnel, IV Rocephin, Alinia, Zithromax, Prednisone, Imuran, Plaquenil, Lyrica, Cymbalta, Levothyroxine, Atenolol, Cozaar, Zyrtec, Fosamax, Albuterol, Prilosec, CPAP

autoimmunediseasesgfliving.blogspot.com

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3910
   Posted 9/11/2010 7:41 PM (GMT -7)   
Hi nasalady, a few of the members here have been on prednisone for one reason or another, so maybe they will see your post and tell you their experiences.  I know that pred raises the blood sugar but I don't know if it does this permanently.  One way you can help bring down the blood sugar numbers is by cutting a lot of white food out, the obvious carbs like potatoes, any food made with flour and/or sugar.  Your blood tests are what doctors would indeed tell you are "prediabetic" and to watch your carbs and to get some regular exercise.  They are not critical and many doctors might not put you on diabetes meds but if they rise, that might be a possibility.  I'm sure it's one more issue you don't want to deal with.  What does your doctor say about this?
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

nasalady
Veteran Member


Date Joined Sep 2009
Total Posts : 1176
   Posted 9/11/2010 7:49 PM (GMT -7)   
My endocrinologist did not seem overly concerned, but my PCP told me that this is not good and that I need to watch it. I have been trying to cut carbs for a while now, not very successfully; I generally don't eat sweets but do make gluten free pasta and mashed potatoes fairly often, as my family is very partial to such things.

These numbers provide motivation to get serious about the carb-cutting!

Thanks, Lanie!
Lyme Disease, Babesiosis, Ehrlichiosis, Bartonella, EBV, CMV, AIH, Hashimoto's, lupus, fibro, RA, celiac disease, asthma, psoriasis, Raynaud's, hypertension, osteopenia, sleep apnea, RLS, GERD, DDD, L3-4 and L4-5 radiculopathy -> severe lower back pain, cubital tunnel, tarsal tunnel, IV Rocephin, Alinia, Zithromax, Prednisone, Imuran, Plaquenil, Lyrica, Cymbalta, Levothyroxine, Atenolol, Cozaar, Zyrtec, Fosamax, Albuterol, Prilosec, CPAP

autoimmunediseasesgfliving.blogspot.com

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3910
   Posted 9/11/2010 8:06 PM (GMT -7)   
Yup, sometimes we have to change things in life because we are compelled to!  So, in order to help bring down the blood sugar, cut the carbs - you know that.  Poke around the forum here for the threads on food.  I haven't had potatoes or a sandwich in about four years now and I don't miss them.  Honest.  The other day, my daughter and I had lunch in Chili's and I ordered a hamburger on a plate (hold the bun) - and the server nodded.  No problem.  She said lots of people are doing that now.  Anyway, if you're still on prednisone, I'd suggest getting a blood sugar meter.  Seems to me it would be covered by insurance because of your blood test results.  Or, you can buy an inexpensive one at WalMart, ReliOn.  This is their own brand and rather inexpensive.  This way, you'll know what effects the food has on your blood sugar.  You're hit with a whammy!  But think of all the nice veggies sauteed with your chicken or fish or steak!
smurf  
Lanie

diabetes moderator
diabetes type 2 controlled so far by diet and exercise
very low carb way of eating

Judy2
Forum Moderator


Date Joined Mar 2003
Total Posts : 9582
   Posted 9/12/2010 10:06 AM (GMT -7)   
Yes, nasalady, steroids are from the devil. They definitely raise the glucose level; sometimes this is temporary and other times it becomes permanent. My primary elected to treat me as a type II diabetic and put me on the diet and exercise regime when I had two fasting glucose readings above 100 and an A1C of 6.2. I was able to control with diet and exercise for 8 years. Last December my A1C suddenly shot up to 7.5, and I was started on Metformin. (Even though I stopped taking steroids more than 5 years before that, the diabetes stayed around.)

I have no family history of type II diabetes, so I feel relatively sure it was the steroids coupled with the weight they put on me. The good news is, I'm well controlled now as long as I stay on my diet, exercise regularly and take my low dose of Metformin.

It's a real downer when the medications we take give us diseases that are almost worse than the ones they treat, isn't it?
Ulcerative colitis diagnosed 2001. In remission with Remicade since 2006.
Graves disease with hyperthyroidism, successfully treated with radioactive iodine.
Arthritis with global joint pain.

Co-moderator thyroid forum

nasalady
Veteran Member


Date Joined Sep 2009
Total Posts : 1176
   Posted 9/12/2010 2:40 PM (GMT -7)   
Thanks for the input, Lanie and Judy2...

Well, I HATE prednisone, and I've gained a lot of weight in the past two years on it, but apparently it has saved my liver (I have autoimmune hepatitis, among other things). I am down to 5 mg a day, but have now been told I have adrenal fatigue. I don't really know what that means...does it mean I'm on pred (or similar meds) for good? :(

Anyway, I will be trying to eat Paleo since I know so many people with illnesses like mine who do well on that type of diet. It's definitely healthy and low carb!

Take care,
JoAnn
Lyme Disease, Babesiosis, Ehrlichiosis, Bartonella, AIH, Hashimoto's, lupus, fibro, RA, celiac, asthma, psoriasis, adrenal fatigue, pre-diabetic, Raynaud's, hypertension, osteopenia, sleep apnea, RLS, GERD, DDD, severe lower back pain, cubital tunnel, tarsal tunnel, Suprax, Mepron, Alinia, Zithromax, Prednisone, Imuran, Plaquenil, Lyrica, Cymbalta, Levothyroxine, Liothyronine, Atenolol, Cozaar, Zyrtec, Fosamax, Albuterol, Prilosec

autoimmunediseasesgfliving.blogspot.com
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