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Type 2 Steroid Induced Diabetes Anyone?

Discussion in 'Ask A Question' started by Tickledpinknot, Jul 24, 2018.

  1. Tickledpinknot

    Tickledpinknot Other · Member

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    Are there many of you who have diabetes as a result of taking steroids for other medical conditions?
    Are your blood sugars well controlled?
    I'm new to this diabetic-thing; cancer I've lived with for over 11 years but diabetes was a bit of a curved ball if I'm honest.
    Any information gratefully received, thanks x
     
  2. urbanracer

    urbanracer Type 1 · Expert
    Retired Moderator

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    Welcome to the forums @Tickledpinknot , I have seen posts about diabetes mellitus induced by medication but it's not that common (at least on these forums).

    @daisy1 may be able to give you some good general information.
     
  3. Tickledpinknot

    Tickledpinknot Other · Member

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    Thanks @urbanracer I got the impression I was in the minority.
     
  4. Kittycat_7_

    Kittycat_7_ Type 2 · Well-Known Member

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    Hi,
    I have diabetes because of being on steroids and other meds.
     
  5. Tubbycatsmum_

    Tubbycatsmum_ Type 2 · Member

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    I’ve just been diagnosed with diabetes because of steroids during cancer treatment. Not got a type yet they think it’s a mixture of type 1, 2 & 3 but treating me for 1. Started on insulin a few weeks ago x
     
    • Hug Hug x 1
  6. Energize

    Energize Type 2 · Well-Known Member

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    Yes, I'm another one too! I was on steroids for Polymyalgia, so had to stop them PDQ

    Having said that, a few years before this, I had a nasty fractured ankle and they discovered my blood glucose was raised. It continued to rise until I had surgery to fix it (ie 6 days) before it started to lower. Hence, I knew diabetes was written on my card at some time in the future :(
     
  7. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Active Member

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    Yes I do! I was already at risk but being on pred for RA pushed me over the edge. Gutted but what can one do?! I also don’t know type, or anything just yet!
     
  8. daisy1

    daisy1 Type 2 · Legend

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    @Tickledpinknot

    Hello tickledpinknot 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 be able to 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.
     
  9. JohnEGreen

    JohnEGreen Other · Master

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    I have Myasthenia Gravis and consequently have been taking steroids a long time so now am a drug induced that is T3E diabetic. though blood sugars are now in the normal range and last HbA1c was 35 this has been the result of tight control by diet and metformin and calorie restriction to control weight. Mind you recently I had to increase my steroid dose back up to 20 mg a day from 10 mg which unfortunately caused a blip in my control of blood sugars which is slowly adjusting it's self now.

    If you are drug induced because of steroids and you can come off them altogether at some point there is the chance that the diabetes will go away.
     
  10. Pipp

    Pipp Type 2 · Expert
    Retired Moderator

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    My first encounter with steroid meds was as a teenager. I had injections for sport injury. Some 10 years later, I had gestational diabetes in first pregnancy. (I only discovered the gestational diabetes many years later when sifting through my medical records, as I had been so ill at the time, and nobody at the hospital had told me of the diagnosis). I have needed oral steroid meds at intervals in the meantime, and was diagnosed T2 when I was 50. Whether this was due to steroids, genetics, diet, stress, or something else or a combination of factors is uncertain.
    I do still need oral steroids a few times a year, depending on how my breathing is. I always have found they increase my blood glucose levels for around a month or so. More recently this has changed. My most recent prescription in April / May raised boold glucose to much higher levels than before, and are only just starting to reduce. This pushed my HbA1c from a consistent 38 - 40 for the last few years to a recent 52. I am working on it to reduce back to more acceptable level. The steroids also caused a weight gain of around 4-5 kg.
     
  11. DCUKMod

    DCUKMod I reversed my Type 2 · Master
    Staff Member Administrator

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    Hi there ResistingResistanceUK - You might find this to be an interesting read: https://www.diabetes.co.uk/forum/threads/my-life-since-discovering-lchf.66929/

    Whatever you do, please don't think I am suggesting that the suggested, or any other diet is the absolute panacea and you're certain to have the same results, because I'm absolutely not, but it is such a staggeringly good result, it can't be ignored.

    I wish you well with whichever way you choose to manage your condition.
     
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  12. ringi

    ringi Type 2 · Well-Known Member

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    It is possible you have type3c not type2, most GPs don't know the difference.

    Have you had a test to see how much insulin your body is making?
     
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  13. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Active Member

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    No I haven’t. I’m seeing the diabetic nurse on Wednesday and one question I’d like to ask is to actually type the diabetes.
     
  14. ResistingResistanceUK

    ResistingResistanceUK Type 2 · Active Member

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    Thank you! Will read up!
     
  15. Pinkorchid

    Pinkorchid Type 2 · Well-Known Member

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    Yes my husband diabetes is thought to be due to steroids he takes prednisolone for Polymyalgia. He was taking the steroids for 2 years then went into remission so stopped them and during that time T2 was diagnosed. About 18 months ago the Polymyalgia returned so he was back on the steroids and he still takes them. He is down to 7mg a day and they have never had much impact on his BG his last HbA1c was 40
     
  16. MargaretR

    MargaretR Type 2 · Well-Known Member

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    Hello

    I have taken steroids for about 13 years, when I started with polymyalgia. During that time I’ve had 2 bouts of giant cell arteritis which is associated with polymyalgia, but only a small % develop it. The problem is that is treated with even higher doses of steroid. ( 70 mg predisolone per day)

    About 4 years ago my polymyalgia morphed into rheumatoid arthritis, and I also developed diabetes steroid induced. The thing that took me a bit of time to work out was that as well as the long term effect of inducing the diabetes, there is also a short term effect. I can remember getting very worried by one or two posts on here which told me that after a meal my blood sugar level should go up by not more than 2 mg/l.. however, a lot of trial and error showed me that that is a virtual impossibility with steroids. I take my predisolone in the morning, and I take the enteric coated. Even if I haven’t eaten anything for breakfast I get a spike 2/3 hours later. Similarly if I do eat breakfast. So I learnt to eat breakfast and lunch very low carb to minimise the effect.

    This forum was incredibly useful and very supportive, once I realised I would get this spike whatever. It took me longer that some people to get control, but eventually I did. The added benefit was that I lost about 8 stone.

    Everybody is different, so I would suggest doing a lot of testing to try and work out if your husband is having a similar effect after taking the tablets.

    Margaret
     
    • Informative Informative x 1
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