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Diabetes Discussion
Newly Diagnosed
Steroid-induced diabetes - permanent or temporary?
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<blockquote data-quote="JonB100" data-source="post: 2305583" data-attributes="member: 496681"><p>If interested please see my original post above introducing myself, issues and background - regarding a liver transplant and newly diagnosed diabetes + adrenalin insufficiency / long term steroid use. </p><p></p><p>Anyway to be short and to the point, after two years on Humulin I insulin, I am no longer a diabetic. I have weened myself off insulin, have steady glucose blood levels and normal HbA1c readings.</p><p></p><p>I've also lost and stabilised my weight at 72kg, a reduction after stopping insulin of about 3.5 kg (half a stone).</p><p></p><p>It took about 12 weeks to slowly reduce my insulin intake from 18 to 0 units, by about 2 units per week. For those on steroids who my be interested, a took and still take daily 20mg of hydrocortisone but have moved from a dose of 10mg twice daily to 10mg at 6:00 am, 7.5mg at 12:00 and 2.5mg at 18:00. This is most likely a simple physiological substitution, similar to the level my body would produce not adrenalin insufficient. </p><p></p><p>One of my real problems was consistently very low blood glucose levels in the morning. I experimented by testing my blood glucose on waking (often high 3's to low 4's) and then at least one unit higher twenty minutes after taking 10 mg of hydrocortisone. So one aspect of my diabetes was instantly resolved by simply taking my forstvdoes of steriod early in the morning. This replicates what happens to non diabetic folk, when a morning surge if cortisol pulls glucose stored in the liver and so raises blood glucose levels in preparation for the days activities. </p><p></p><p>Anyway six months later I still no longer take or need insulin and can eat anything I desire ....</p></blockquote><p></p>
[QUOTE="JonB100, post: 2305583, member: 496681"] If interested please see my original post above introducing myself, issues and background - regarding a liver transplant and newly diagnosed diabetes + adrenalin insufficiency / long term steroid use. Anyway to be short and to the point, after two years on Humulin I insulin, I am no longer a diabetic. I have weened myself off insulin, have steady glucose blood levels and normal HbA1c readings. I've also lost and stabilised my weight at 72kg, a reduction after stopping insulin of about 3.5 kg (half a stone). It took about 12 weeks to slowly reduce my insulin intake from 18 to 0 units, by about 2 units per week. For those on steroids who my be interested, a took and still take daily 20mg of hydrocortisone but have moved from a dose of 10mg twice daily to 10mg at 6:00 am, 7.5mg at 12:00 and 2.5mg at 18:00. This is most likely a simple physiological substitution, similar to the level my body would produce not adrenalin insufficient. One of my real problems was consistently very low blood glucose levels in the morning. I experimented by testing my blood glucose on waking (often high 3's to low 4's) and then at least one unit higher twenty minutes after taking 10 mg of hydrocortisone. So one aspect of my diabetes was instantly resolved by simply taking my forstvdoes of steriod early in the morning. This replicates what happens to non diabetic folk, when a morning surge if cortisol pulls glucose stored in the liver and so raises blood glucose levels in preparation for the days activities. Anyway six months later I still no longer take or need insulin and can eat anything I desire .... [/QUOTE]
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