diabetes and prednisone

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loraine84
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/18/2011 10:15 PM (GMT -6)   
I have diabetes that was induced by 3 years of prednisone use. My diabetes was discovered last year.
I'm a bit confused about how they are linked. Does it mean that I actually am diabetic and should take
insulin, metformin,etc. or are the blood sugar numbers screwy because the prednisone over shadows
the real numbers? I'm trying to wean myself off the prednisone (I take it to deal with serious daily migraine
headaches) and am thinking my numbers will return to normal once I'm completely off the prednisone.
Am I mistaken, will I be left with diabetes?

Judy2
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Date Joined Mar 2003
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   Posted 1/18/2011 11:14 PM (GMT -6)   
The answer to your question, unfortunately, is "maybe." Sometimes once you get off the pred your glucose goes back down, but sometimes it doesn't. I also have prednisone induced diabetes. What dose were you on?

Please be sure you're working with your doctor on weaning the prednisone. Decreasing it too fast can produce serious, potentially life-threatening effects.

In the meantime, you need to treat yourself as a diabetic. Follow your diet, take any medication that is prescribed, exercise regularly and try to lose weight if you are overweight.
Ulcerative colitis diagnosed in 2001. In remission since 2006 with Remicade.
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SmurfyShadow
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Date Joined Dec 2008
Total Posts : 2386
   Posted 1/19/2011 5:35 AM (GMT -6)   
Judy is right. One of the things w ith prednisone is that it will raise your bloodsugar and you always have adjust your carbs accordingly.

When I was hospitalized they had me on high doses of prednisone. They were thinking of putting me on insulin because of my bloodsugars. I decided to shove that idea up somewhere else lol. I started asking what my bloodsugar was and would adjust my carb intake accordingly. I did so well at it, that I acted really wierd in front of the doctor and he took my bloodsugar and said "Well I don't care if you have a test, you will eat right now." Asked him what I was... I was 60. I won the meal the nurse kept saying I coulnd't have because of a test and that I could eat after the test...she forgot I was diabetic.
Don't Care Bout Nuffin No More, Guess I shouldnt even be in this world

LanieG
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Date Joined Nov 2006
Total Posts : 3327
   Posted 1/19/2011 9:30 AM (GMT -6)   
Loraine, as Judy is telling you, be sure you're weaning yourself off prednisone under your doctor's care.  There are schedules to follow for time and dosage and it can be dangerous if you stray from them  I hope it turns out well for you but make sure you are talking with your doctor.
Lanie

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

loraine84
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/21/2011 1:24 AM (GMT -6)   
Wow, thanks for the advice. So helpful but depressing at the same time. The dosage I take is 60mg down to 15mg.
I tend to really YoYo with the prednisone because I use it to fight migraines. If I wake up with a really bad
migraine then I might go from 20 the day before to 60 the next day to fight the migraine, then gradually reduce
the dose, until the next breakthrough migraine, and so on and so on. 15 is about as low as I can go (and I do
reduce it slowly) without breaking into daily disabling migraines, but sure enough after a time (couple of weeks)
a serious migraine will pop up and I'm back to 60 to stop it, then the reduction starts again, as I said YoYo.
I do have side effects and I hate it, but better than living in bed in a dark room, (which I did the first 2 years or
so when they started. Anyway I do have hope, that's why I have questions. I'm scheduled for migraine surgery
(long story) next week where I travel from California to Ohio to have the surgery by a doctor there who invented
the procedure And for me the best part of the surgery, if its successful, is getting rid of the migraines, and getting off
prednisone. I was hoping the prednisone induced diabetes would just disappear after the migraines. I guess I
will have to wait and see. Well, if the diabetes persist at least I won't have to deal anymore with the side effects
of daily prednisone, and the migraines of course. And you all have a good point about how to reduce dosage, I
better not just stop if the surgery works, I will slowly reduce it, a mg. at a time, weekly? Dangerous to just yank
it, it sounds.

SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 1/21/2011 2:43 AM (GMT -6)   
Is your doctor nuts? Sorry, but you should NEVER jump 45mg at once. Tops, 10mg but reccomended is 5mg at a time in week intervals. I think you might be getting this going to sound funny but withdrawls which can give migraines. Always have a doctor monitor CLOSELY when you are slowly weening yourself from any medication. Any too far of a jump can give you withdrawls on any medication, especially steriods and pain killers. Prenisone is a steriod.
Don't Care Bout Nuffin No More, Guess I shouldnt even be in this world

loraine84
New Member


Date Joined Jan 2011
Total Posts : 3
   Posted 1/21/2011 11:37 PM (GMT -6)   
Smurfy, I can't blame my doctor for the prednisone dosage because he disapproves of my use of it at all.
In the past he would prescribe it maybe twice a year if I was traveling or stressed, but in a very limited
amount for maybe 3-4 days. The way I eventually got hooked on prednisone, was a trip our family took to
Mexico, right after 9/11. We couldn't face Christmas so we left town. I had a different doctor then, and he gave
me enough prednisone to survive the trip without a migraine. When we boarded the plane I took a dose, 20mg.
and the migraine I'd been living with the past week, dissapeared and never returned the entire trip. A miracle
for me. I did stop then, but a years later, with a new doctor, and my migraines getting worse, the new doc.
refused to give me more. So I found another source for it, and have been expeirmenting with it and taking
it daily ever sense. He knows I'm taking it (can't hide one of the side effects, a puffy face) baffled how I'm able
to procure the prednisone, but refuses to comment much on it cause he is so opposed to it. So I invented the
dosage thing, it works, and I'll do almost anything to avoid a migraine given my are so severe, frequent,
and painful. Now I am paying the price for that decision, and thats why I'm going for the surgery that might
stop the migraines forever, and give me a chance to get off the darn prednisone forever!

SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 1/22/2011 3:47 AM (GMT -6)   
If you find your migraine triggers then you wouldnt need medication or surgery. Sorry, but its the truth. For example, I get migraines. I get them when I dont get enough sleep, too much soda, too much bananas, too much chocolate, etc. I also get neurological and rebound migraines. From prednisone fixing the problem, I would examine of why. What is the chemicals in the prednisone. I would see a neurologist. Perhaps something is wrong with your body's chemical balance and you just need a medication. What you are doing is very unsafe, and dangerous. I know its unsafe and dangerous from my medical training. And I can't get into it because it will be against forum rules, I said I could off of personal experience and pointed you in a direction to look in.
Don't Care Bout Nuffin No More, Guess I shouldnt even be in this world

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3327
   Posted 1/22/2011 8:59 AM (GMT -6)   
Loraine, what you're doing with the prednisone is dangerous to you.  You need a legitimate specialist in migraines.  But you cannot stop the prednisone cold turkey.  We are not doctors here.  Please take care of your health and see a doctor.
Lanie

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

wodin
Regular Member


Date Joined Jul 2009
Total Posts : 488
   Posted 1/24/2011 8:59 PM (GMT -6)   
It's called steroid induced diabetes, or just steroid diabetes, there is a wealth of information about it on the web, just google "steroid diabetes".

Judy is right, it's a definite maybe, most of the literature says something like “it usually resolves, but not always, upon withdrawal of the steroids”. I have it as a result of a course of prednisone for ulcerative colitis, and even though I’ve been weaned from the prednisone for over a year now, mine didn’t resolve completely. That means that I’m a full blown type two diabetic, with all the MetFormin , diet control, medical checkups etc. that that entails.

As most of the folks here have said, prednisone is not something to play around with, it is a dangerous drugs with many side effects that you may not be aware of, and medical supervision is not just desirable, but necessary. Especially if you are tapering from it.
Proctosigmoiditis
67 year old male
Diagnosed Feb 2007
Currently in remission X 1 Year
Contracted Steroid induced diabetes during last flare, It seems to have resolved after 10 Months Steroid free
6 Grams/Day Colazal
Nicotine therapy , primarily electronic cigarettes supplemented by Nicorett lozenges

tacky
New Member


Date Joined Feb 2013
Total Posts : 1
   Posted 2/19/2013 11:39 AM (GMT -6)   
In October 2012, I developed severe Bronchitis. In early November, I was in the hospital for 5 days to treat the Bronchitis. Before entering the hospital, I was a type II diabetic treated with two pills a day to maintain a sugar level of 105. Soon after being in the hospital, I was put on Prednisone. And almost immediately, my sugar level went to over 300 and I was put on insulin. When I went home, I was weaned off the Prednisone over twelve days. But I was still on insulin because my sugar level never came down. Three months later, I am still on a high dose of long acting insulin with all the symptoms of a type I diabetic, which I never had before: fatigue, loss of balance, Neuropathy in my feet and ankles, thirst, frequent urination and dry skin. All because of Prednisone. So beware.

taulandi
New Member


Date Joined Sep 2008
Total Posts : 2
   Posted 3/2/2013 12:34 PM (GMT -6)   
Wodin is right, it is -steroid-induced-diabetes, but generally, it disappears right after you stop using the steroids. Taking steroids by your own is very dangerous, and cannot cure your migraine.

Take care of your self properly! It is a pity to act like this with your body. There are many many other solutions to your problem, but you have not consulted the right doctor for the right solution.

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3327
   Posted 3/2/2013 12:54 PM (GMT -6)   
Do you have diabetes, taulandi?
Lanie

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