I am a type 1.5 diabetes Was diagnosed in July with Temporal Arteritis. I was put on prednosine and now from keeping my a1c at a 5.9 -to maybe 6.2 My numbers are all over cant control just wondered if anyone else has delt with this Thank You
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I don’t know how you treat your diabetes, but on a pump it’s possible to keep your bg under control when on prednisone. Problem is, you have to deal with it immediately, before the bg goes up, because once it goes high on prednisone, it’s nearly impossible to get it back down until sometime after you stop taking the prednisone. Are you on oral prednisone or shots?
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Since newly diagnosed, may be best to contact your doctor to get recommended dose changes.
You could reduce carbs in your meals, and increase proteins, fats. Eat smaller, more frequent meals. Find meals that you get better results with, even if repetitive for awhile.
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I always have really reacted badly to steroids blood sugar wise. I had a shot and then was put on pills because of a back issue. It took extra insulin and the effects didn’t start to wear off for quite a few days after I stopped the pills. The insulin resistance with needing more insulin lasted 4-6 weeks after. It can be really difficult to deal with, but sometimes you just don’t have a choice. Eventually you return to normal. As long as you are taking prednisone you will have a problem with control.
Just so you know type 1.5 really isn’t used that much anymore in the US. Usually it’s LADA/Type 1. LADA isn’t an official labeling so much as a description of you getting Type 1 later in life because it’s a much slower process. LADA stands for Latent Autoimmune Disease in Adults. Type 1.5 seems to just confuse people to what it means, people in general, but also doctors and the medical field.
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Thank You
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as a person who has to have very high doses of steroids I can tell you that that the prednisone dragon is never really tamed when having diabetes. A pump does help, but the best thing is to get off of them. I question why Actemera has not been prescribed. Obviously I am not a doctor, but given the advantages of Actemera I think I would go to your doctor right away and ask to be transitioned. Especially because of diabetes.
One last thing this condition is often linked to polymyalgia rheumatica, for that reason I would get in line immediately to see a Rheumatologist. It can often take up to six months to see one, so the quicker the better, unless you are in an area that is rich with rheumatologists.
I wish you well my friend, the good news is that this can be treated, it will be OK, but sooner the better.
I have an appointment the end of November.Thank You
Ken, I am so glad to hear that. Hopefully, they will be able to move you to biologics ASAP. Actemera is a well-used, studied medication that works for many. I wish you well, my friend.
Until then, my advice is to blast the high levels of BS with insulin - ask your endo about a pump. Maybe an onnipod - and ride it out; prednisone is a dragon; you must endure it to get to the other side.