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<blockquote data-quote="pleinster" data-source="post: 1515161" data-attributes="member: 221545"><p>Hi. [USER=118479]@Liam1955[/USER] is correct, my Type 2 is steroid induced. I was on a fairly high dose of the steroid prenisolone as part of my treatment following a kidney transplant (required due to an inherited kidney disease). I was warned that a percentage of people on this drug for a period of more than a month or so can go on to develop diabetes. It was obviously a risk worth taking (and one I have no regrets about) but it did cause diabetes in my case (and my brother's case). The drug (like some others I am on/was on) is gradually reduced as time passes but I will have to take it for life (probably); it helps prevent rejection of the new organ. When I realised (through keeping my own records regarding food and meds and meter readings) that the drug was also causing spiked which could push my blood sugars up by as much as 10mmols and keep it there for a few hours, I realised that despite being on Gliclazide and starting a low carb diet I couldn't hope to get any great control even on the recently reduced dose of Prednisolone, I asked to have it cut more dramatically (bit of risk). Doctors looked at my own records and agreed. As soon as I went onto a low dosage (ie. 10 times lower), the spike almost vanished and I was able to keep my blood sugar under control by low carb diet alone. That was around 2 years ago...still fine. As for hypos due to steroids [USER=39431]@fumanchu[/USER], I'm not sure what evidence your Atkins group bases this on...in my experience (which is also the experience of just about any steroid induced diabetic I have spoken with and a lot of renal transplant patients) steroids increase the blood sugar and so I can't see how that would contribute to hypos (quite the opposite actually)...but, as they say, we all differ. Perhaps other meds are involved? I do know that the two or three times I have had a hypo ( and fortunately nothing awful), it was the Gliclazide!</p></blockquote><p></p>
[QUOTE="pleinster, post: 1515161, member: 221545"] Hi. [USER=118479]@Liam1955[/USER] is correct, my Type 2 is steroid induced. I was on a fairly high dose of the steroid prenisolone as part of my treatment following a kidney transplant (required due to an inherited kidney disease). I was warned that a percentage of people on this drug for a period of more than a month or so can go on to develop diabetes. It was obviously a risk worth taking (and one I have no regrets about) but it did cause diabetes in my case (and my brother's case). The drug (like some others I am on/was on) is gradually reduced as time passes but I will have to take it for life (probably); it helps prevent rejection of the new organ. When I realised (through keeping my own records regarding food and meds and meter readings) that the drug was also causing spiked which could push my blood sugars up by as much as 10mmols and keep it there for a few hours, I realised that despite being on Gliclazide and starting a low carb diet I couldn't hope to get any great control even on the recently reduced dose of Prednisolone, I asked to have it cut more dramatically (bit of risk). Doctors looked at my own records and agreed. As soon as I went onto a low dosage (ie. 10 times lower), the spike almost vanished and I was able to keep my blood sugar under control by low carb diet alone. That was around 2 years ago...still fine. As for hypos due to steroids [USER=39431]@fumanchu[/USER], I'm not sure what evidence your Atkins group bases this on...in my experience (which is also the experience of just about any steroid induced diabetic I have spoken with and a lot of renal transplant patients) steroids increase the blood sugar and so I can't see how that would contribute to hypos (quite the opposite actually)...but, as they say, we all differ. Perhaps other meds are involved? I do know that the two or three times I have had a hypo ( and fortunately nothing awful), it was the Gliclazide! [/QUOTE]
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