Corticosteroids and diabetes
10/19/2010 4:21 p.m.
Hello,
I am new in these needs.I tell you a little, to see if someone can help me.
Diabetic background, gestational diabetes (10 years ago), always controlled with diet and all phenomenal, for 4 months I have diagnosed me a retroperitonial fibrosis (with operation), and I am in treatment with corticosteroids and immunosuppressants, obviously the glucose goes from levels,And I am clicking on the morning 28-30 of Levemir and a pill of metformin in food, the basal glucose is quite short (50-80), but from there you start shooting, especially after eating.
I have almost suspended carbohydrates, and for my illness, the exercise is almost null (the house and something of walking, but not much).
Almost always as the same (vegetable, meat, fish, fruit), and spent a lot of hunger.I don't know what to do.
Why, eating the same for a few days I have more sugar than others?
Is it possible that my nerve state is having an impact on glucose?
I am very obsessed, since I am afraid to have hypoglycemia.
I have crushed fingers of so many punctures, and if I observe that I have it low or tall I get more nervous, and I don't know what to do ...
Is there anyone who can give me advice? ... I need it!
Thank you!.
10/19/2010 4:21 p.m.
Hello, Puri.
I imagine that all this will have spoken with an endocrine and that he will have put that pattern.
I don't know very well how your disease can affect problems with glycemia, so my opinion is just that, a simple opinion.That said, I am quite surprised that they have prescribed insulin and metformin and, at the same time, they have removed the hydrates.Insulin is precisely to process glucose.If there are no hydrates, the risk of hypoglycemia can be important.
I recommend that you return to the endocrine and ask that you are not well with the treatment and, in case it does not convenient you, ask for a second opinion to another endocrine.
Telling where you are and maybe we can better orient you about specialists.
Welcome home.
10/19/2010 6:10 p.m.
Hello!I also think that, if you can't drink hydrates, it is because metmorphine for meals is not enough.Surely it would be better for you to put quick insulin before meals, which is what is usually paid along with basal insulin.
Care it with the endo, because you don't have to go hungry either
Greetings :)
10/19/2010 7:10 p.m.
Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20
If you take corticosteroids, you will know that they inhibit the action of insulin ... and a diabetic notices it.Go if you notice.Glycemia triggers, and sometimes we must increase treatment in important percentages.Your doctor will know to what extent modify your insulin guidelines, because it depends on the amount of anti -inflammatories you take.
10/20/2010 5:54 a.m.
ISCI / debut: 1986 / HbA1c: 5,5%
From my point of view it would be advisable to study ultrarapid insulin in meals ... As Gondullo says, insulin needs increase a barbarity in the situation you describe and metformin does not help absolutely at all to improve blood glucose figures.
It is likely that even lowering basal units and adding ultrarapide at meals an acceptable control is achieved.
Even so, you have to see the duration of treatment and other possible conditions.
10/20/2010 12:50 p.m.
I am all over your interest.I explain a little more. To start the treatment with corticosteroids, the insulin doses mustI get more than normal, the dose of bread and measures of the first dish, I try to adjust to the maximum to the 1500 calories of my diet, what happens, is that when I puncture before dinner or eating, and the level of glucoseIt is high (150-180), I try to reduce pasta.The problem is, in which it is very variable glucose.I give you an example;Yesterday I had the same as always (coffee with milk and 5 cookies María), mid -morning (11.30 and destroy of 71) I take an apple and before eating (14.00) destroy of 121. Today the same operation and at the same time,With the difference that before eating, which has been my suspicion, I had 180. It has all this logic ?????????????????Do you understand why are I going crazy ?????I imagine that this nightmare ever ends, but I want to live normally
Thanks for everything Ah, I'm from Alicante.
10/20/2010 2:22 p.m.
Well, values are "normal" in a type 1 diabetes. If you manage to be between 70 and 180, most of the time, you go very well.
If you see that you get high to eat, take less hydrates in the middle of the morning.
If after eating you are above 180, so you do need fast on meals.
10/20/2010 5:21 p.m.
Hija de 35 años , diabética desde los 5. Glico: normalmente de 6 , pero 6,7 la última ( 6,2 marcaba el Free)
Fiasp: 4- 4- 3 Toujeo: 20