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<blockquote data-quote="MargaretR" data-source="post: 889331" data-attributes="member: 157443"><p>I'm sorry you have got polymyalgia, it's not pleasant. I've had it for 10 years, and am unusual in that it has never completely gone away, and I have never been completely off prednisolone. I've had flare ups when my dose had to go up, and 2 bouts of Giant Cell arteritis/temporal arteritis. (As an aside, check this out if you haven't already, as you need to be prepared. I think PMR sufferers have a 1 in 20 chance of getting GCA)</p><p></p><p>Back to the diabetes. In January I was diagnosed as Type 2 steroid induced diabetes, although I think in retrospect I think I had been pre-diabetic for a couple of years. I bought a meter and started testing, and like you found that my BG levels were all over the place. I posted on here, and was told that what I was eating must be wrong as I shouldn't have a rise of more than 2 after a meal. Fortunately by that stage I had realised that the blood weren't 'all over the place' but were mirroring the prednisolone. I experimented with the pred as I have a variety of tablets (different mg and sugar coated/non-sugar coated.) What cameout of my experiments is that on a LCHf diet is that I can be 5.5mg in the morning, and take my tablets (sugar coated) at 9.00 am. My blood sugar stays in the 5's and 6's. Then at lunch time it starts to creep up, This has no connection with the food I've eaten, but is to do with the pred. It carries on rising slowly until after dinner, then drops quite quickly until being about 7 at bedtime. I tie this in with the sugar coating on the red having been digested away, and got into the blood stream</p><p></p><p>I have managed to get my pred down to 12.5 mg at Christmas, and seen my blood sugar levels drop. My GP didn't expect to see a difference until I got to 6 mg, but I've been lucky. However (and it's a big one) getting to 12.5 mg has brought back all the pmr symptoms. My GP decided to test for Vitamin D,and my levels were indeed very low. So I had an intense course of Vit D, and I did indeed get some improvement. If you look up Vitamin D deficiency you will find the symptoms are very similar to PMR.</p><p></p><p>My PMR hasn't gone away, though, despite the improvement, I've still got a lot of pain. I'm seeing my GP (who is brilliant) tomorrow in order to decide if I increase the pred, knowing that it will cause an increase in the blood sugar level.</p><p></p><p>There are a couple of web sites forums for PMR, one is run by PMR/GCA organisation, and the other by PMR/GCA North East. The North Ea one is very active.</p></blockquote><p></p>
[QUOTE="MargaretR, post: 889331, member: 157443"] I'm sorry you have got polymyalgia, it's not pleasant. I've had it for 10 years, and am unusual in that it has never completely gone away, and I have never been completely off prednisolone. I've had flare ups when my dose had to go up, and 2 bouts of Giant Cell arteritis/temporal arteritis. (As an aside, check this out if you haven't already, as you need to be prepared. I think PMR sufferers have a 1 in 20 chance of getting GCA) Back to the diabetes. In January I was diagnosed as Type 2 steroid induced diabetes, although I think in retrospect I think I had been pre-diabetic for a couple of years. I bought a meter and started testing, and like you found that my BG levels were all over the place. I posted on here, and was told that what I was eating must be wrong as I shouldn't have a rise of more than 2 after a meal. Fortunately by that stage I had realised that the blood weren't 'all over the place' but were mirroring the prednisolone. I experimented with the pred as I have a variety of tablets (different mg and sugar coated/non-sugar coated.) What cameout of my experiments is that on a LCHf diet is that I can be 5.5mg in the morning, and take my tablets (sugar coated) at 9.00 am. My blood sugar stays in the 5's and 6's. Then at lunch time it starts to creep up, This has no connection with the food I've eaten, but is to do with the pred. It carries on rising slowly until after dinner, then drops quite quickly until being about 7 at bedtime. I tie this in with the sugar coating on the red having been digested away, and got into the blood stream I have managed to get my pred down to 12.5 mg at Christmas, and seen my blood sugar levels drop. My GP didn't expect to see a difference until I got to 6 mg, but I've been lucky. However (and it's a big one) getting to 12.5 mg has brought back all the pmr symptoms. My GP decided to test for Vitamin D,and my levels were indeed very low. So I had an intense course of Vit D, and I did indeed get some improvement. If you look up Vitamin D deficiency you will find the symptoms are very similar to PMR. My PMR hasn't gone away, though, despite the improvement, I've still got a lot of pain. I'm seeing my GP (who is brilliant) tomorrow in order to decide if I increase the pred, knowing that it will cause an increase in the blood sugar level. There are a couple of web sites forums for PMR, one is run by PMR/GCA organisation, and the other by PMR/GCA North East. The North Ea one is very active. [/QUOTE]
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