Hi. I am just visiting from the Lupus forum, hoping you might have some ideas to help me. 2 weeks ago, I had an appt. with my PCP. Unfortunately, it was not productive! I think he became upset with me over my changing rheumy's (my other one was in his group) which was the very first thing I told him. I was there for a follow-up where he previously gave me a blood sugar meter because I was concerned with what my blood sugar was doing with my taking prednisone. This appt., I was trying to explain to him that I had found my blood sugar going much higher (after having consumed the exact same thing) since I am trying to taper on the prednisone (going down to 9mg from 10mg daily). I gave him my highest example as of then, which was getting a reading of 189 while on 9mg vs. 123 on 10mg 2 hrs. after having consumed the exact same meal.
I had already explained this by phone to a nurse in his office and he had already diagnosed me with "Steroid-induced Diabetes". What I could not understand though, was that he saw it enough of a problem to diagnose it like that, but still showed NO concern for the higher blood sugar #'s I have been seeing on my meter. He insisted my previous A1C test results showed no concern for levels too high. I don't doubt that, during that last 3 month span when he tested, I was probably only tapering 1 time for maybe 3 days total. When I was on 10mg of prednisone, I hardly ever saw readings out of the normal range. When I am tapering is when it is going crazy. He did do the A1C test again, but it still showed no concern. I am trying to follow the glycemic index to try to control my levels by what I eat, but even that doesn't do it every time. I guess it controls it enough though to make that test look okay. He thinks Medicare will cover supplies enough for me to check my blood sugar once a day, but I'm not sure they will with that coding (Steroid-induced) according to what they've said. Also, forget just testing, isn't there anything that can be done to help prevent diabetes now? Since that appt, my new highest reading is 205, 2 hrs. after a meal. I have an appt. this week with my rheumy. I am going to attempt to provide the very same info. again and see if I can get some help from him. Others in my forum have given me some ideas of tests I should ask for. I just need to know if there's something else I might need to say to get them to take this serious. I don't want to end up with diabetes if I don't have it already. Any help would be appreciated,
Always looking for the silver lining, Sharen
SLE '06, Sjogren's '06, Traumatic Head Injury '94
Prednisone 10mg and tapering, Caltrate 1200mg, Multi-vitamin, Prevacid 30 mg, Actonel 35mg