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Hi all-
I have to let you know that I spent the past 2 weeks sick. It started as a "cold on Aug. 23 ~ bad cough, congestion, achy, flu-like symptons...", but within 24 hours I knew something was not right. I called my "primary care" doctor as a starting place, but she was on vacation and I was put in with the "sub-doc". That was Aug. 25. She sent me straight to the ER for a nebulizer treatment of albuterol. The doctor at the ER prescribed a "Z-pack". 2 days later I returned to this "sub-doc" who then prescribed Prednisone. Oh dear! My suggestion for ALL diabetics... NEVER EVER TAKE PREDNISONE!

I spent 12 days with BGs through the roof. I adjusted my basal up 20% and at the suggestion of the "sub-endo" (why do ALL of my doctors take vacation the last 2 weeks of August???) I chased each BG with an additional 20% on top of the bolus. My BG readings were in the high 200's and got up above 450! In addition to the high BGs, I could not sleep AT ALL. So, again, I do not recommend Prednisone for any diabetic!

In the end (final diagnosis was Tues, Sept. 1) I had pneumonia and I'm now taking Levaquin. My BGs have returned to a normal 100-ish and I'm on the mend, but it has been a tough ride.

Hope all are well!

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I was given Pred for hives and had to stop it after about a week. I couldn't get my bg's down no matter what. Same thing with steroid shots in my neck for pinched nerve. I spent 10 days over 200 despite taking THREE TIMES the usual amount of insulin per day.

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Oh, I'm SO glad it was not just me. No, not glad that you too had highs, but you know what I mean. The doctor very, VERY casually said "you may experience some high blood sugar readings..." I was SO not prepared for the highs I got! Have you ever seen a list of meds NOT recommended for diabetics? I imagine there is one somewhere out there, but never thought to search for something. You live and learn, huh?

Hope you're well Dave - thx.

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Yup! (on the live and learn)

I'm doing fine--just came from my 4-month appt with my endo and got great news...A1c is 6.0. Hip hip hooray!! Last time it was 6.2 and before that my worst in many years-- 6.5. I had fully expected this A1c to come in at around 6.3+, so I was shocked when they gave me the number today.

The pain doc that did my 3 neck shots also doesn't realize just how high the shots make my bg's go up...but you can bet I let her know, and she was surprised. sigh.

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I am like you Dave I took it for hives too. Boy oh boy did my sugars go through the roof. Mine was all up in the 300's. At the time I was not on my pump so I had to constantly check and take a shot. I just felt like crap for 10 days.

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Aww, sorry to hear that. I'm telling you, the hives I had were the most miserable experience of my life--it was worse than pain. If I have bad enough pain I can get relief thru meds or surgery, but the hives drove me crazy for 7 months. I went to several doctors and nothing really worked. I got a little relief from 12 Benadryl a day and Zyrtec, and some other pills that I forgot the name of. The Pred helped too, but I told the doc I wasn't about to let my bg's go crazy despite the fact the Pred helped the hives. After a few months I was beginning to think this was going to be a permanent condition, which is quite a terrifying thought because I couldn't sit still, I had a difficult time sleeping (well, getting to sleep). In the morning, I'd get a fresh batch of them usually right after I got up. They were "pressure" hives according to the allergist--they were the worst where pressure was on my skin like my rear when sitting, etc. They were so large they grew together like islands floating together on the ocean. I sprayed lidocaine, I had all sorts of creams, ointments, you name it, I tried it. I found one thing that made me forget I had them for a while--I discovered that when I played a high intensity video game ( a shoot em up game called Resistance Fall of Man) my mind was so preoccupied with the game, I'd not feel the itching. No other diversion helped like that video game.

All of this happened 10 days after surgery on my neck and we still don't really know what actually caused the hives. I read a lot on line about hives and found that others got their hives following surgery too...

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Same with me, I took it for a bad rash (Which it helped) but paid a very high T1 price!

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Just went thru this after I got a cortisone shot in my knee. My knee is feeling better which is good cuz it was very painful but I traded that for elevated BS's. Nothing I did really helped. It has to run its course. Any type of steroid whether oral or injection will do this. You trade one problem for another. I had a whole week of BS's all over 200. I guess you have to decide before you take any and be prepared for what comes after. My BS this AM was 179 so its still coming down but my knee feels alot better.

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I had to take Prednisone after my surgery ... my basal had to be increased 180%. After 2 days they pulled me off of it.

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Yes! Someone I work with was given this last year for the same sort of symptoms you mentioned and her BG was through the roof! She could've written your post!

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Prednisone is sometimes a necessary drug. There are many drugs and even vitamin/supplements that affect insulin requirements, I have trouble with niacin and Bg but for cholesterol improvement I feel the benefits out-way the cons. I bet non-diabetic insulin requirements are also raised on prednisone, it's just they adjust automatically. We have to make those adjustments all the time, granted it's hard and most of the time not predictable. Don't give up on a powerful, effective drug just because Bg is harder to control. Maybe the benefits of the drug are more important than the Bg control. Weigh the pros and cons. Granted sustained hyperglycemia is also a bad thing, it's a tough call.
Good luck

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I am currently on Pred, and I am having the same difficulties. The Rhuemy is like well dude, the RA is making you miserable, so what do you want to do? I biked 4 1/2 miles and walked two miles and my BG is over 300. Well ok, I was able to walk and ride a bike, I could not do that last week. So what how am I doing? I am using about 35% more insulin every day and how long will I do it? I am scheduled for three weeks, will I keep going? depends on if I get sick of being sick I guess. DTK anyone?

rick phillips

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wow, biking when 300 is NOT good for you, Rick. That can exacerbate, rather than mitigate, high bg's.

I did 300% TDD for 10 days and STILL had bg's in the 200's. It was insane (from a steroid shot to the neck, which I mentioned earlier IIRC)

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