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Steroid induced diabetes and conflicting information...
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<blockquote data-quote="Dizzydog" data-source="post: 837804" data-attributes="member: 169322"><p>Hi I'm also new here but am also brittle asthmatic & steroid dependant. (Again 25- 50mg daily) and a cupboard full of other medication that does strange things to blood sugars I've found! was diagnosed back in oct and put straight on to insulin with a recent change from mixed to basal/ bolus, best thing I ever done and find it so much more flexible & I've soon worked out my own personal response to steroid dose changes and insulin requirements. I have also worked out all my carb ratios etc.</p><p></p><p> I also found little information on steroid induced diabetes (consultant said it is more tricky to control deal with but at least my excellent GP admitted he had little dealings with this type & referred me straight to the diabetes specialist team ( I also use subcutaneous terbutaline & methtrexate off licence and so the gps won't generally have much to do with any of that & needed specialist input re that & diabetes etc)</p><p></p><p>I'm unable to do any exercise really & have chronic asthma symptoms nearly all of the time & diabetic consultant suggested the normal balanced diet approach but in fairness also explained the lower carbohydrate/ less insulin scenario etc etc advice seems to vary.</p><p></p><p>Also I'm assuming it's pred you take and it has a distinct affect on blood sugar patterns during the day (basically gets higher & higher through the day and then lowers overnight with a peak at around 3pm! & once you get your head around that I've found it easier to deal with/ control but then I've been on pred so long now I could tell the diabetes consultant exactly what times pred was at its most effective!!</p><p></p><p>I'm by no means an expert & am still learning but hope that helps a little from personal experience. Sorry if it seems a bit of a waffle and feel free to message any questions or thoughts & I'll do my best to help <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Dizzydog, post: 837804, member: 169322"] Hi I'm also new here but am also brittle asthmatic & steroid dependant. (Again 25- 50mg daily) and a cupboard full of other medication that does strange things to blood sugars I've found! was diagnosed back in oct and put straight on to insulin with a recent change from mixed to basal/ bolus, best thing I ever done and find it so much more flexible & I've soon worked out my own personal response to steroid dose changes and insulin requirements. I have also worked out all my carb ratios etc. I also found little information on steroid induced diabetes (consultant said it is more tricky to control deal with but at least my excellent GP admitted he had little dealings with this type & referred me straight to the diabetes specialist team ( I also use subcutaneous terbutaline & methtrexate off licence and so the gps won't generally have much to do with any of that & needed specialist input re that & diabetes etc) I'm unable to do any exercise really & have chronic asthma symptoms nearly all of the time & diabetic consultant suggested the normal balanced diet approach but in fairness also explained the lower carbohydrate/ less insulin scenario etc etc advice seems to vary. Also I'm assuming it's pred you take and it has a distinct affect on blood sugar patterns during the day (basically gets higher & higher through the day and then lowers overnight with a peak at around 3pm! & once you get your head around that I've found it easier to deal with/ control but then I've been on pred so long now I could tell the diabetes consultant exactly what times pred was at its most effective!! I'm by no means an expert & am still learning but hope that helps a little from personal experience. Sorry if it seems a bit of a waffle and feel free to message any questions or thoughts & I'll do my best to help :-) [/QUOTE]
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