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Steroid-Induced Diabetes question
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<blockquote data-quote="Lizzie2" data-source="post: 2175515" data-attributes="member: 240814"><p>I know just how you feel. I was not told that steroids could cause steroid induced T2 before I developed steroid induced T2 about five or six years ago after I was given a large dose of prednisone for inflammatory arthritis,</p><p>Fortunately I was also taking part in a pre diabetes study and I had my first annual check up about three months after I started the steroids so it was discovered very early on.</p><p></p><p>Even after that though a GO in my practice prescribed steroids for something (can’t remember what) I mentioned that I had had steroid induced T2, was told that there was no chance of that as the prescribed course was too short etc. She didn’t know that I had my own blood sugar monitor at home and could check - needless to say it did seriously spike my blood sugar - so much for her theory! </p><p>I wasn’t really given much help from my practice nurse other than a ‘healthy plate’ diet sheet!!! Loads of carbs, low fat etc. Enough said! </p><p>I had been wondering how I would know if my efforts to eat well and exercise were working when I had no way of testing my blood to see what was going on. </p><p>I went online and discovered a book by Dr David Cavan, I read that from cover to cover , I bought my own blood sugar monitor, made myself a simple spreadsheet and recorded everything I ate exactly what Dr Cavan recommended and in three months my blood sugar was in a very good place.</p><p>I found that things I would have thought were healthy really spiked my blood sugar - for example a nice healthy baked potato and salad, my favourite oat bran muffins, loads of things that fitted nicely into the ‘healthy plate’.</p><p>Recording before and after eating meals was a really interesting experience, I discovered that anything involving grains of any sort (I eat a totally gluten free diet) were real no, nos for me. Whereas I could have a slice of pavlova with cream and berries with very little increase in blood sugar. I now know what to eat and not to eat. </p><p>It was an upsetting experience discovering that T2 was caused by treatment for a medical condition. The steroids did make me feel like superwoman but I’m not sure it was worth it - other than make me aware of how closely I need to monitor my blood sugar for the rest of my life. I would have to think very carefully before I took steroids again and be8ng pre diabetic I’m not sure I would have taken them in the first place if I’d known about steroid induced T2. If only the doctor I saw had mentioned the link. I <em>think</em> statins can have a similar effect.</p><p>I was tested a year after I met the diabetes nurse which was shortly after I finished the steroids and will be checked by my GP every year but I think that’s a long gap in between so now (because I know I eat stuff I shouldn’t) I pay and have my own finger prick HbA1c blood tests done by Medichecks.com so that I can keep an eye on my HbA1c.</p><p>With a bit of luck once you stop the steroids completely your bloods will go back to a good place.</p></blockquote><p></p>
[QUOTE="Lizzie2, post: 2175515, member: 240814"] I know just how you feel. I was not told that steroids could cause steroid induced T2 before I developed steroid induced T2 about five or six years ago after I was given a large dose of prednisone for inflammatory arthritis, Fortunately I was also taking part in a pre diabetes study and I had my first annual check up about three months after I started the steroids so it was discovered very early on. Even after that though a GO in my practice prescribed steroids for something (can’t remember what) I mentioned that I had had steroid induced T2, was told that there was no chance of that as the prescribed course was too short etc. She didn’t know that I had my own blood sugar monitor at home and could check - needless to say it did seriously spike my blood sugar - so much for her theory! I wasn’t really given much help from my practice nurse other than a ‘healthy plate’ diet sheet!!! Loads of carbs, low fat etc. Enough said! I had been wondering how I would know if my efforts to eat well and exercise were working when I had no way of testing my blood to see what was going on. I went online and discovered a book by Dr David Cavan, I read that from cover to cover , I bought my own blood sugar monitor, made myself a simple spreadsheet and recorded everything I ate exactly what Dr Cavan recommended and in three months my blood sugar was in a very good place. I found that things I would have thought were healthy really spiked my blood sugar - for example a nice healthy baked potato and salad, my favourite oat bran muffins, loads of things that fitted nicely into the ‘healthy plate’. Recording before and after eating meals was a really interesting experience, I discovered that anything involving grains of any sort (I eat a totally gluten free diet) were real no, nos for me. Whereas I could have a slice of pavlova with cream and berries with very little increase in blood sugar. I now know what to eat and not to eat. It was an upsetting experience discovering that T2 was caused by treatment for a medical condition. The steroids did make me feel like superwoman but I’m not sure it was worth it - other than make me aware of how closely I need to monitor my blood sugar for the rest of my life. I would have to think very carefully before I took steroids again and be8ng pre diabetic I’m not sure I would have taken them in the first place if I’d known about steroid induced T2. If only the doctor I saw had mentioned the link. I [I]think[/I] statins can have a similar effect. I was tested a year after I met the diabetes nurse which was shortly after I finished the steroids and will be checked by my GP every year but I think that’s a long gap in between so now (because I know I eat stuff I shouldn’t) I pay and have my own finger prick HbA1c blood tests done by Medichecks.com so that I can keep an eye on my HbA1c. With a bit of luck once you stop the steroids completely your bloods will go back to a good place. [/QUOTE]
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