Diabetes and Prednisone

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New Member

Date Joined Sep 2009
Total Posts : 2
   Posted 9/20/2009 2:00 PM (GMT -7)   
Help Please!!!! I am a type 2 diabetic and I have been able to control it with 1 glipizide a day. I also have lupus and one of the areas that get attacked are my blood platelets sooooooo Dr. put me on 60 mg of predisone and now have weaned down to 20 mg a day. I can't eat any fruit or vegies....which I LOVE because every time I do up goes the blood sugar. My Dr. says no fruit or vegies until I can cut down to 5 mg. He also said to eat fiber filled foods as they will fill my up and break down slowly which so far has been true.....BUT...I can't find many choices. I'm so sick of lentils and the only thing I can still eat with out gagging is homemade whole grain and whole wheat bread. Please anyone out there that has the same prob contact me. Thanks

Lanie G
Forum Moderator

Date Joined Nov 2006
Total Posts : 6029
   Posted 9/20/2009 2:47 PM (GMT -7)   
Welcome to the Forum cjamcee.  There have been several other members here who were or are on prednisone and I hope they come and post some responses to you.  I realize it's tricky to balance everything going on with the diet, meds and the two diseases.   I really didn't know you couldn't eat vegetables because of the prednisone.  Fruit has a lot of fructose and will raise the blood sugar but vegetables like summer squash, green beans, eggplant, broccoli, cauliflower is ok but I'm not sure how they interfere with the pred.  The wheat bread will surely raise the blood sugar.  I hope others can jump in here.
forum moderator - diabetes
diabetes controlled so far by low/no carb diet and exercise; no meds

Veteran Member

Date Joined May 2006
Total Posts : 547
   Posted 9/22/2009 11:20 AM (GMT -7)   
Why can't you eat fruit or veg while on pred? Your doctor instructed this? THAT'S WHERE YOU'RE FIBRE IS!!! Sure you have to watch the fruit quantities and reduce/eliminate starchy veg (potatoes, corn, etc.) but there are soooo many veg items that are almost "free" to eat - cucumbers, radishes, celery, peppers, mushrooms, leafy greens, cabbages and squash. All great for fibre. Nuts, especially almonds, are particularly high in fibre, too. It's the kind of fibre our bodies need and want. Grain fibre is different.

Getting fibre from whole grain breads, pastas & cereals will not do you much good, other than to keep your BGLs elevated. Breakfast is the time of day that most of us have difficulty maintaining good BGLs. It's also the meal that'll set the rest of your day (your metabolism takes it's cue from breakfast). Don't skip it and try to keep it heavier on the protein and fat and as low on carbs as possible (unless you exercise after breaky where you might need the carb boost). Have a thin slice of the bread you like if that'll help get your morning appetite up BUT... have egg or cheese, or peanut/almond butter or cottage cheese or something with a whack of protein and fat WITH that bread. It's all about balance.

Pred can truly wreak havoc with a compromised metabolism (aka diabetes). It's one of those meds that "unmasks" a diabetes predisposition - like it did with me :-) Know that your BGLs will be elevated and wonky while you're on it. I found drastically limiting carbs, eating more frequently and in small quantities, helped reduce post-meal spikes and deal with the constant food cravings. 10 almonds, 1/2 apple with 1oz cheddar, celery with cream cheese or peanut butter, slice of meat/chicken with cheese in lettuce wrap... are all good low carb options. Worth a try?
- 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

Post Edited (Phishbowl) : 9/22/2009 12:23:01 PM (GMT-6)

New Member

Date Joined Sep 2009
Total Posts : 2
   Posted 9/22/2009 4:59 PM (GMT -7)   
Thank you so much and yes it is worth a try.
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