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Prednisolone & T2

Discussion in 'Newly Diagnosed' started by ResistingResistanceUK, Jul 22, 2018.

  1. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Member

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    Hello, I’ve been at risk since I had Gestational diabetes 2ce . I was running to help aid me. I have recently been diagnosed with Rheumatoid Disease and my rheumatologist put me on Prednisolone to help with the symptoms. Anyway back in May, my hb1ac was 41 (cutting it fine) and just last week after 12 weeks of Prednisolone, it’s 49mmols. Which lands me in T2 territory.

    I’m still on pred I have about 4 weeks left, my question is has anyone ever had this happen to them?

    I haven’t seen the diabetic nurse yet not for another week but I’m being even more conscious about my carb intake.

    I guess I’m just frustrated that a drug that literally took away my pain also pushed me over the edge in terms of T2 , I just have to manage what I’ve got now.
     
    • Hug Hug x 3
  2. Pipp

    Pipp Type 2 · Expert
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    Hello, @ResistingResistanceUK , and welcome.
    I need steroid meds from time to time, and unfortunately Prednisolone does have the effect of raising blood glucose levels. Sometimes we need to deal with the most troubling symptoms first when we have more than one medical condition. Eating the low carb way should help.
    Tagging @daisy1 who posts info for new members.
     
  3. h884

    h884 Type 1 · Well-Known Member

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    Hi there, I am in a similar position to you. I have been on steroids since October and have found my levels very difficult to keep under control.

    The steroids have helped control the joint pain etc but as for my diabetes well !!!!!!! . I have every sympathy for you. Hopefully you will get off them soon
     
  4. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Member

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    Thank you both!
     
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  5. daisy1

    daisy1 Type 2 · Legend
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    @ResistingResistanceUK

    Hello and welcome to the Forum :) Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want and someone will help.

    BASIC INFORMATION FOR NEW MEMBERS

    Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

    A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

    On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

    The role of carbohydrate

    Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

    If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

    The bad news

    Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

    The good news

    People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

    Controlling your carbs

    The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

    There are two approaches to controlling your carbs:
    • Reduce your carbohydrate intake
    • Choose ‘better’ carbohydrates
    Reduce your carbohydrates

    A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

    The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

    Choosing better carbohydrates

    The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

    Read more on carbohydrates and diabetes.

    Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

    Eating what works for you

    Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

    To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

    The blood sugar ranges recommended by NICE are as follows:

    Blood glucose ranges for type 2 diabetes
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 8.5 mmol/l
    Blood glucose ranges for type 1 diabetes (adults)
    • Before meals: 4 to 7 mmol/l
    • 2 hours after meals: under 9 mmol/l
    Blood glucose ranges for type 1 diabetes (children)
    • Before meals: 4 to 8 mmol/l
    • 2 hours after meals: under 10 mmol/l
    However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

    Access to blood glucose test strips

    The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:
    • structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
    • self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

    Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

    You may also be interested to read questions to ask at a diabetic clinic.

    Note: This post has been edited from Sue/Ken's post to include up to date information.
    Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

    • Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why

    • Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
     
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  6. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Member

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