High Blood Sugar and Prednisone

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Julia H
Regular Member


Date Joined May 2005
Total Posts : 76
   Posted 10/2/2005 7:25 PM (GMT -6)   
I'm 21, and have lupus and have been treated with prednisone for the past year in varying dosages from 5 to 40mg. Well, my doctor called and said my blood sugar was high last time they tested it. It was 119. I've had other readings that have been 128, 109 etc. This has been about 6 hours after a light meal. She wants me to come in to do an H1ac. I'm doing that on wednesday. I'm worried about having to take more medicine. If my blood sugar is still in the 100s after 6 hours what would it be like right after a meal? My blood sugar used to be around 70-80 on a consistant basis with a really good 4. something H1ac before the prednisone.
Thanks,
Julia
Lupus, Raynaud's, Chronic Urticaria, Thrombocytopenia 2003, Small Fiber Neuropathy 2005
Meds:
Plaquenil, Methotrexate, Folic Acid, Prednisone, Cymbalta, Nifedical, Celebrex, Baby Aspirin, Humira


Cristina
Regular Member


Date Joined Jul 2005
Total Posts : 62
   Posted 10/2/2005 11:03 PM (GMT -6)   
I've read somewhere that Prednisone may induce diabetes.  I was prescribed this drug while pregnant (I didn't know about the risks of Prednisone at the time) and my son was diagnosed with diabetes at the age of 2, while there is no history of diabetes in our family.  The doctor who prescribed Prednisone for me said that they were "not aware" of any side-effects.  My health issue was however resolved with vit B12, not Prednisone.

Pin Cushion
Regular Member


Date Joined Feb 2003
Total Posts : 442
   Posted 10/3/2005 12:18 AM (GMT -6)   
Prednisone will raise your blood sugar levels. It sends mine through the roof and only a last ditch effort when my Crohns flares.
Sigmoid Colostomy / Crohns / Type 1 Diabetic / Ostioarthritus / Fibromyalgia / Asthma / High Blood Pressure / High Colesterol / Migraines. Ain't life a joy?



* I think it may be time for a colorful metaphor*


Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 10/6/2005 6:58 PM (GMT -6)   
I've had the same experience, Pin Cushion. I've been on pred several times, mostly when my UC flares. My insulin dosage triples and that barely keeps control. I've never heard that pred induces diabetes. Would have to check that one further.

Chutz
Co-Mod: Fibromyalgia & Chronic Pain Forums
                 ***************
 
The nicest thing about not planning is that failure comes as a complete surprise and is not preceded by a period of anxiety.


Julia H
Regular Member


Date Joined May 2005
Total Posts : 76
   Posted 10/6/2005 8:03 PM (GMT -6)   
I did my H1ac yesterday and it was 4.8% so all is well!
Julia
Lupus, Raynaud's, Chronic Urticaria, Thrombocytopenia 2003, Small Fiber Neuropathy 2005
Meds:
Plaquenil, Methotrexate, Folic Acid, Prednisone, Cymbalta, Nifedical, Celebrex, Arava, Neurontin


Steve K
New Member


Date Joined Oct 2005
Total Posts : 18
   Posted 10/6/2005 9:21 PM (GMT -6)   
119 6 hours after a meal sounds good to me. I am usually between 130 and 150 6 hours after a meal. Is that bad?

Trying to get it right
New Member


Date Joined Apr 2012
Total Posts : 2
   Posted 4/5/2012 2:33 PM (GMT -6)   
Have taken prednisone many times, blood sugar is 399 before lunch. I do not remember it ever being quite that high..Have many medical problems taking it this time for copd, post nerve block, intubation with surgery o2 stats not good one month later. Oxygen raised from 2 litres to 3. Need advice as to how high blood sugar can get before needing to worry. Diet controlled diabetes, been off meds for 10 years, BS usually runs 90-120 before meals, cleaned machine, still 399. Could someone who has this problem help me..put calls out to two of my doctors, earlier...thanks so very much!!!!! I am 59.

COPD
Diabetes
malabsorption
Acid reflux
colitis
C-1 thru T12 injury, crushed vertebrae disc etc

approx 12 meds, 4 inhalers, nebulizer, Cont. oxygen,

Post Edited (Trying to get it right) : 4/5/2012 1:36:26 PM (GMT-6)


LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3439
   Posted 4/5/2012 3:36 PM (GMT -6)   
Hi and welcome to the Forum.  You know that prednisone will raise blood sugar.  Usually when patients are on this, they are also put on diabetes meds.  Has the doctor ever mentioned this to you?  Yeah, 399 is way too high.  It seems to me you should not be higher than 150 or 160 for an extended period of time because of the possibility of organ damage.  This varies with people.  There are other members here who were on prednisone, too, and I hope they come and help you with more complete answers.
 
The bottom line is the doctors need to help you get your blood sugar down.
Lanie

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

Spookiesmom
Regular Member


Date Joined Jan 2012
Total Posts : 363
   Posted 4/5/2012 7:37 PM (GMT -6)   
SteveK
Try testing one hour and two hours after your meal to see where your bg is. 6 hours is too long to go without eating anything. If your #s are high, you may want to look at how many carbs that meal contained, and adjust it.
T2, OmniPod,Fibro,MVP,CAD,4 level cervical fusion, L5_S1 needs fusion, arthritis all over, need 2 knee replacements, Vit D3, and a lot of other meds!

SmurfyShadow
Veteran Member


Date Joined Dec 2008
Total Posts : 2386
   Posted 4/7/2012 12:56 AM (GMT -6)   
Grabs chutz and huggs

yea, prednisone raises anybodys blood sugar. my norm range is 96 yo 116 and when i am on prednisone it shoots me up to the 170s. For treatment to manage the diabetes they have me on a sliding scale of insulin (novolog). So depending on my bloodsugar I take it at a certain ammount or dont take it
"The Walking Medical Mystery"

Too many Allergies / Too many RXs & DXs

A Rare Gem for Doctors and Guinee Pig
~Medical Caregiver and Doctors Worse Nightmare~

colgone1
Regular Member


Date Joined May 2011
Total Posts : 99
   Posted 4/14/2012 3:46 PM (GMT -6)   
I was on prednisone, nasty drug. I am a Type II diabetic.

Have you ever considered LDN? I originally came to this post through the Ulcerative Colitis Forum. You can read my post "Ulcerative Colitis in Remission" where I describe being on prednisone at on time.

LDN has been shown to be effective for some with Lupus.

I also just posted this to share with a newbie that recently posted about diabetes...

"Worried girl,

I have never posted on the diabetes forum as Ulcerative Colitis was my original connection with this forum.

Long story short. Had an intense fever over Christmas a few years ago, lasted a week. A few days after the fever subsided I was still feeling bad. Prior to this I had been passing blood daily with the urgency that accompanies UC and was scheduled for as colonoscopy the first week of January.

Went to my doctors office to see why I might still be feeling so bad. They tested my sugar and ordered me to go immediately to the hospital. My blood sugar was 612.

I had my wife stop at the local favorite Mexican food restaurant for one last meal, I am an idiot at times.

I was also read the 'riot act' at the hospital, dietician etc. I took it all to heart immediately. I am an idiot but I eventually can catch on with the 2x4. After eating broth for 2.5 days my sugar levels came down, with the assistance of insulin. I still remember the ecstasy of tasting a small amount of delved out, regimented solid food.

Within 2 days of getting out of the hospital I stopped taking the insulin. I told myself I was going to get medicine free. Within one month I was off of the Metformin they had prescribed and drug free and have been so ever since.

I was pricking myself probably 30 times a day for weeks initially. I wanted to know what everything was doing to me. Food exercise etc. I started keeping a diary of what I ate and my reactions (numbers). Started losing weight. Part of my weight loss was due to the UC, which was identified while I was in the hospital for the diabetes, but that is another story you can find on my post "Ulcerative Colitis in Remission" under the UC forum.

My Dr. gave me a book called the "GI Diet". It helped to educate me on the proper way to look at food and to combine my foods. The goal being to manufacture fuel i.e. sugar, that was of a high quality and easily assimilated into the body.

The hard thing to do is to eat properly 5 times per day. When you eat like this you are never hungry but have to force yourself to eat. The Zone diet is another one that speaks to the chemistry of diabetes.

I hardly ever prick myself anymore as I am consistently staying around 100.

I started with an A1C around 11. The goal was initially to get me under 7. Two days ago I was tested at 5.9. My Dr. said that with what I am doing combined with my exercise that he is expecting me to be at 5.2 when I am next tested.

I was blessed with diabetes a little over 2 years ago now. It is work to get things under control, do not kid yourself. This is serious stuff, but if you work at it as though your life and quality of life depends on your ability to persevere then you will be successful. Success breeds feeling good about yourself as well as the obvious. Once you establish good habits they become natural.

Keep up the forward motion."

Anyway there is some good information available for LDN.
UC Started 6/09. Asacol, Lialda, Balsalazide, 2 Different Enemas, Prednisone, Remicade (once). Aloe Juice an Probiotics. LDN, Low Dose Naltrexone from 1mg initially to 2mg per day. Currently only a low sugar diet, diabetic diet.

Symptom free since 11/10

Mammatus
Regular Member


Date Joined Mar 2011
Total Posts : 98
   Posted 5/4/2012 7:40 PM (GMT -6)   
I have UC and Type II. Just had a UC flare. Began prednisone and am starting to taper off. As usual, it makes my blood sugar get way too high. But I suppose it's better than abdominal pain and bloody/mucus runs and crapping one's drawers...until I suffer permanent internal damage. Boy, something to look forward to...whoopie.

dontech
New Member


Date Joined Aug 2012
Total Posts : 1
   Posted 8/22/2012 11:15 AM (GMT -6)   
I took 60mg prednisone 3 days and 40mg 3 days and 20mg three days etc. Because of an inflammation in my eye. My god...my blood sugar rose to 500. I felt dried mouth week muscles and weight lost during this time even before going further low on prednisone. My doctor did not give me any warning about this. I am trying to bring my sugar level down now and hope I will recover and normal. Please be very careful when you take this medicine. I dont want this thing happen to anyone. This is a near death experience. Dont wait go emergency if this happen to you.

LanieG
Forum Moderator


Date Joined Nov 2006
Total Posts : 3439
   Posted 8/22/2012 1:43 PM (GMT -6)   
That's a terrible experience, dontech.  Most doctors would alter their patients' diabetes medication while on prednisone.  While tapering off, the meds would be adjusted down.  It's really strange and a shame that your doctor did nothing to help you and your blood sugar.
Lanie

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

Mammatus
Regular Member


Date Joined Mar 2011
Total Posts : 98
   Posted 8/22/2012 11:48 PM (GMT -6)   
Count your blessings in that your blood sugar levels are, in the overall scheme of things, relatively low. Working closely in conjunction with my GI and regular doctors (and I mean I basically live in their offices lately, contributing greatly to the general economy and their retirement funds), my blood sugars are still way high (sometimes 300s to 500s). My body seems to tolerate all this mess fairly well, all things considered, though I'm certain it's just all killing me slowly.
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