• Guest - w'd love to know what you think about the forum! Take the 2025 Survey »

ill again and having great bgs and losing weight.

@ickihun forgive me for asking but have you been shown the correct method for using your inhalers, if not may be an idea to make appointment for your GP's asthma clinic if they have one.

Also there are expansion chambers that you can use with your inhaler that help provide a finer dose and can make it easier to inhale the delivered dose.

Just a thought as you say you are newish to asthma

 
Last edited:
Thanks John.
Yes I have a spacer due to oral thrush from early use but I nievely thought I wouldn't have to do this regime permenantly. I thought once controlled it can be relaxed but whenever I reduce either preventer or slow release reliever. Or even blue reliever due to having green slow release, I'm getting a problem again.
As bad luck would have it my bug started a day before I was due a follow up with asthma nurse at gps. She told me I was overdosing by using blue and green before preventer. So I stopped blue reliever as she said to only use it in an emergency. I congested up and was back to square one of not being able to breathe again.
So I now on waking take 2 puffs of blue to get me going, then an hour later do slow-release reliever and preventer. Same at night. So far so good.
A few days ago I was using 6-8puffs of blue, spread out then green and brown 2xtwice a day. To get on top of it all.

I think nurse didn't want me to take blue with green together.

I have to go back in 2wks time as I've told bariatric team I'm controlled when I was pre-bug.
I hope nurse confirms its ok regime.
What do you think?

I appreciate your support.
I'm feeling loads better after 2 naps today following 2 bouts of sickness.

Watching a bit darts then off back to bed. I think I'm recouping my lost sleep. Ha ha

I have to watch I don't rush my inhaler regime. Little one is still clingy and cannot bare me doing something which doesn't involve him. I've resorted to locking myself in bathroom for some extra time.
 
Phew!
Back to my newly normal self.
Thankyou all for your imput.

Looked like a virus causing inflammation with sickness bug involved.
No sickness this morning. Hurray!!! :) :) :)
 
@ickihun Before I was taken of the brown preventer over concerns of overdoing steroids I used to take two puffs at night and again in the morning blue is as required so no set routine though now I take it at night as it's all I have and during the day when needed I had the green one for a while was pretty good but since changed doctors don't have it any more I also used to have a pink/red inhaler Beclometasone dipropionate/formoterol fumarate dihydrate (fostair) which was I think like a peventer and reliever in one now that was pretty good as well. But as it was quite potent you took less of it.

"
Maintenance and reliever therapy
Patients take their daily maintenance dose of Fostair and in addition take Fostair as needed in response to asthma symptoms. Patients should be advised to always have Fostair available for rescue use.
Fostair maintenance and reliever therapy should especially be considered for patients with :
• not fully controlled asthma and in need of reliever medication
• asthma exacerbations in the past requiring medical intervention
Close monitoring for dose-related adverse effects is needed in patients who frequently take high numbers of Fostair as-needed inhalations"

But yet again steroids so not able to have it again, Bahh.

Your new regime seems OK to me but as you say you should discuss it with asthma nurse or doctor..
 
JohnEGreen said:
@ickihun Before I was taken of the brown preventer over concerns of overdoing steroids I used to take two puffs at night and again in the morning blue is as required so no set routine though now I take it at night as it's all I have and during the day when needed I had the green one for a while was pretty good but since changed doctors don't have it any more I also used to have a pink/red inhaler Beclometasone dipropionate/formoterol fumarate dihydrate (fostair) which was I think like a peventer and reliever in one now that was pretty good as well. But as it was quite potent you took less of it.

"
Maintenance and reliever therapy
Patients take their daily maintenance dose of Fostair and in addition take Fostair as needed in response to asthma symptoms. Patients should be advised to always have Fostair available for rescue use.
Fostair maintenance and reliever therapy should especially be considered for patients with :
• not fully controlled asthma and in need of reliever medication
• asthma exacerbations in the past requiring medical intervention
Close monitoring for dose-related adverse effects is needed in patients who frequently take high numbers of Fostair as-needed inhalations"

But yet again steroids so not able to have it again, Bahh.

Your new regime seems OK to me but as you say you should discuss it with asthma nurse or doctor..
Click to expand...
I'm ok with what I'm doing, I think but when ill it doesn't seem effective and asthma nurse just got me to see gp for chest infection check.
I think gp is very reluctant to get more involved with steriods for me too. I'm now under specialist for weight loss and some asthma meds can add weight. Right? Which ones. I again haven't a clue.

A little part of me wonders if 4 puffs on blue per day and 2xgreen and 2xbrown is too much just for maintenance?. I guess everyone's needs are different.
Some bariatric patients have been able to stop their inhalers altogether.We'll see.
Did your amounts of help needed reduce after weight loss for you @JohnEGreen .?
 
I saw a Professor of Oncology this week that thinks holistically not just NHS....

His thoughts on vitamins:

No one should just take them without knowing they need them.

The only vitamin he said in UK that could be blindly taken was vit D in the winter.

There are circumstances where this wouldnt be suitable tho ie anorexia.

I've got digestive problems so have arranged with my GP to take my bloods and I will send him them to analyse.. he does macronutrient analysis too like omega 3,6,9 which the NHS do not do.

His thoughts were biased towards good gut flora from natural probiotic foods and no bread, cereals pasta.. etc (good someone thinks outside nhs eatwell plate). Turmeric, broccoli, pomegranate and green t. In vegetable form in tablets called pomi-t. And a specific probiotic tablet (not any on shelves in holland & barrat, actimel etc).

This was to aid cancer patients health.. and we have lowered immunity etc due to treatments etc.

The pomi-t tablets tested on real patients too and good, good results for health and tumours shrinking.

I would certainly ask why a multivitamin. If its said you are low in some standard b12, d tests they may have done.. possibly try adding the real food in instead daily to compensate.
 
ickihun said:
Did your amounts of help needed reduce after weight loss for you
Click to expand...
Now you come to mention it yes I do seem to reqire fewer puffs on my inhaler throughout the day. I suppose less weight less strain on heart and lungs though .mg makes it difficult to tell at times when unable to distinguish between astha and mg.
 
Some times as in my daughters case all the B12 and Iron laden foods would not and have not made any difference neither have supplements as she is unable to absorb them her GP is going to try and arrange a transfusion for her and is going to phone the blood specialist tomorrow.
 
Agree with some supplements will never provide enough. I'm like that with B12 again and despite trying to eat iron laden veg and food that will go thru me I am still low on iron and cannot take supplements due to their effect on stomach/colon....

Oncologist also warned against taking chemical supplements. Only to take ones that are food based...

He said that certain vitamins also make cancer worse...
 
donnellysdogs said:
I saw a Professor of Oncology this week that thinks holistically not just NHS....

His thoughts on vitamins:

No one should just take them without knowing they need them.

The only vitamin he said in UK that could be blindly taken was vit D in the winter.

There are circumstances where this wouldnt be suitable tho ie anorexia.

I've got digestive problems so have arranged with my GP to take my bloods and I will send him them to analyse.. he does macronutrient analysis too like omega 3,6,9 which the NHS do not do.

His thoughts were biased towards good gut flora from natural probiotic foods and no bread, cereals pasta.. etc (good someone thinks outside nhs eatwell plate). Turmeric, broccoli, pomegranate and green t. In vegetable form in tablets called pomi-t. And a specific probiotic tablet (not any on shelves in holland & barrat, actimel etc).

This was to aid cancer patients health.. and we have lowered immunity etc due to treatments etc.

The pomi-t tablets tested on real patients too and good, good results for health and tumours shrinking.

I would certainly ask why a multivitamin. If its said you are low in some standard b12, d tests they may have done.. possibly try adding the real food in instead daily to compensate.
Click to expand...
Bariatric team discovered I'm vit d insufficient which isn't as bad as deficient. GP receptionist called me to tell me to take multivitamins too. All in preparation for op which will leave malnutrition unless multivitamins took.
My weight loss efforts are due to very very little eating but sufficient insulin for energy to walk and function. I'm not able to run marathons so don't need fat nor carb heavy laden foods.
Hopefully I'm fully topped back up with nutrients and bug was due to low immune system from being low too long.

Just left with a lingering cough and heavy back pain thou.
I'm confident cough is due to immune system throwing out remaining lurgy which is suppressed now.
Inflammation attacks have become a common re-occurrence now. Which I've never had on high carb diet and higher bgs. However, I'd prefer my sight and toes if I have to choose. Inflammation is off and on so bearable unless mixed with a bug.
Due another set of blood tests on tuesday so hopefully things will be reflective. :) :) :)
 
JohnEGreen said:
@ickihun Before I was taken of the brown preventer over concerns of overdoing steroids I used to take two puffs at night and again in the morning ……
Click to expand...
Sorry to butt in on you thread @ickihun, I'm glad to see you're feeling better now, but I wanted to ask @JohnEGreen how much he thinks brown asthma inhalers affect diabetes? I was diagnosed with asthma mid March and put on a brown inhaler 2 puffs morning and night, and was diagnosed with Type 2 six weeks later! Not the best year health wise!
 
20170716_130651.jpg I hope you're starting to feel much better @Rachox . I've always thought good bgs give a good foundation to any recovery of virus attacks but i like you knw very little about asthma. Before John's help i only had this brochure to refer to.
 
So minimizes effects on the body. Hopefully that means just affects bgs, a little.
I'm not in a position to test myself as to how much that is but it may very in everyone?
Did your bgs improve much @JohnEGreen when you stopped your brown preventer?
 
I still have to wonder where all my recent inflammation has come from?
2yrs ago I had none of any, well no symptoms. In fact I never even needed a paracetamol for pain. My pain receptors are inflammed too?
I just ate a balanced diet with huge variety.
I've limited my diet to control my weight. I'd never lose if I had the same variety now.
I would have to have baby/toddler portions to attempt it.
Bariatric surgery will have me doing just that in the end. For life. Without the intense hunger.
 
ickihun said:
View attachment 23394 I hope you're starting to feel much better @Rachox . I've always thought good bgs give a good foundation to any recovery of virus attacks but i like you knw very little about asthma. Before John's help i only had this brochure to refer to.
Click to expand...
Thanks for your concern @ickihun , my asthma is really well controlled on the brown inhaler, I only rarely need to use the blue one now, so I'd be reluctant to stop or reduce it. I did ask my GP and he didn't seem to think there was any relationship between inhaled steroids and diabetes. I think I'm just clutching at straws for why I got Type 2, as there is absolutely NO family history of Type 2. But hey I've got it now, so I'll just get on with it!
 
Rachox said:
Thanks for your concern @ickihun , my asthma is really well controlled on the brown inhaler, I only rarely need to use the blue one now, so I'd be reluctant to stop or reduce it. I did ask my GP and he didn't seem to think there was any relationship between inhaled steroids and diabetes. I think I'm just clutching at straws for why I got Type 2, as there is absolutely NO family history of Type 2. But hey I've got it now, so I'll just get on with it!
Click to expand...
I'm only diabetic in family too. I'm looked on like an alien at times. Mind u sisters and mum remember me struggling with thrush at 6yr old onwards. So very young to have it from diet. I was given a lot of antibiotics throughout my childhood, always had infections and bugs. I had pneumonia at 3mths old and hospitalised. Water infections or chest infections, I remember.
I'm complaining lately has I've had some great good health on metformin only, even before I was diagnosed as type2. I used metformin for pcos. Before any mention of diabetes.

I'm pleased you're settled in your asthma regime. It does make a huge difference!
 
Rachox said:
Sorry to butt in on you thread @ickihun, I'm glad to see you're feeling better now, but I wanted to ask @JohnEGreen how much he thinks brown asthma inhalers affect diabetes? I was diagnosed with asthma mid March and put on a brown inhaler 2 puffs morning and night, and was diagnosed with Type 2 six weeks later! Not the best year health wise!
Click to expand...

I think when coupled with other steroid meds the risk is a definate one.

"
There are mixed data as to the effect of ICS on glucose metabolism in both diabetic and non-diabetic individuals. Some studies have clearly demonstrated that ICS treatment can produce systemic side effects including derangement of glucose metabolism. However, other studies failed to demonstrate clinically significant adverse dysglycemic effects of ICS treatment. Failure to demonstrate adverse metabolic outcomes in some of these studies could be due to the relatively small number of participants and short durations of follow up. The largest population-based study showed an increased risk of development and progression of diabetes among patients on ICS therapy. Therefore it is prudent to assess any possible interaction between ICS use and deterioration in glycemic control by careful monitoring. Large-scale prospective controlled studies are necessary to address this issue.

Steroid-induced dysglycemia often presents with post-meal and daytime hyperglycemia, although fasting hyperglycemia is also observed in a significant proportion of cases. In the absence of formal guidelines for diagnostic evaluation and management of steroid-induced dysglycemia, the algorithm proposed in this paper could be used for the management of ICS-related dysglycemic state"

.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4319206/
 
JohnEGreen said:
I think when coupled with other steroid meds the risk is a definate one.

"
There are mixed data as to the effect of ICS on glucose metabolism in both diabetic and non-diabetic individuals. Some studies have clearly demonstrated that ICS treatment can produce systemic side effects including derangement of glucose metabolism. However, other studies failed to demonstrate clinically significant adverse dysglycemic effects of ICS treatment. Failure to demonstrate adverse metabolic outcomes in some of these studies could be due to the relatively small number of participants and short durations of follow up. The largest population-based study showed an increased risk of development and progression of diabetes among patients on ICS therapy. Therefore it is prudent to assess any possible interaction between ICS use and deterioration in glycemic control by careful monitoring. Large-scale prospective controlled studies are necessary to address this issue.

Steroid-induced dysglycemia often presents with post-meal and daytime hyperglycemia, although fasting hyperglycemia is also observed in a significant proportion of cases. In the absence of formal guidelines for diagnostic evaluation and management of steroid-induced dysglycemia, the algorithm proposed in this paper could be used for the management of ICS-related dysglycemic state"

.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4319206/
Click to expand...
Thanks for that. Interesting reading. My blood sugars are coming under control and my asthma is well controlled now. I'll just bear this in mind if my blood sugars go **** eyed again.
 
Last edited:
I used to live with a friend of mine , he was a real health freak, once he had a period where he ate 3 grams of vitamin C daily and ended up having wounds around his eyes ... (he was totally healthy usually just more than a bit fanatic in being a vegetarian and health freak ).... sorry to say but it did make me laugh that he thought there was no upper limit to what amount of vitamin C that could be healthy..

I think there are many multivitamins that are very high in the amount of vitamins of each kinds... and maybe our body only is low in one or two of the vitamins and minerals...

I tried to eat more pottassium for a while, but the pills were so strong that I could feel them stress my heart , which I was also doing every other day by exercising really a lot... so had to give up those pills... and well do believe they are dangerous if one does not really lack the mineral.. so I am no better myself...

well I think our bodies are maybe already rather overlaoded from diabetes and then just eating a lot of vitamins out of the blue, maybe put a strain more on our body... maybe we have to change really slowly to higher levels of everything we want to change in our bodies..
 
Back
Top