High Blood Sugar (Hba1c)
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Was at docs yesterday and all my blood results were very good. Liver function, kidney, heamaglobin (sp) good, cholestral good 4.2. Blood Sugars 48 and I cannot remember what the normal range is. So Eileen you were right about being pre diabetic, So a letter has gone to Nutritionist/dietician to the local hospital. Anyone have any experience of this? All comments welccome and thank you in advance.
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EileenH pat38625
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48 is the cut-off point for a diagnosis of diabetes - so really borderline.
I imagine the dietician will ask you to keep a food diary to see what you eat and where you can make changes - so when my husband had a raised fasting BS and was sent to the dietician here I checked what he was eating - portion sizes as well as what it was - for a few days and he took the notes with him which was quite helpful for the dietician. It actually saved him a second appointment because it was obvious there was little that could be done on diet.
The person to ask on here is probably Nefret who is diabetic and if I remember rightly uses a lower carb diet to keep her blood sugars in check while on pred.
pat38625 EileenH
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EileenH pat38625
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I know what you mean about the comfort food but that is probably what has been doing it - the Hba1c is an average of the levels over the last 3 months or so so if you hadn't had your "comfort breaks" it would have been a bit lower and they probably wouldn't have bothered. Cucumber isn't as good for that is it!
pat38625 EileenH
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EileenH pat38625
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paula63201 pat38625
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I cannot equate your numbers to what our numbers are here in the United States. But here is my experience:
My fasting blood sugar is 96. The normal range is 65-99, so in the high range of normal. My doc says it is the Prednisone, as I don't eat sweets and limit carbs of all kinds. I also exercise. I am 5' 3 " and weigh 115 lbs, so not overweight. I am currently alternating 5.5 with 5 mg Prednisone and about to drop to 5.
She says the blood sugar is not ideal and has now put me on a statin to protect my circulatory system. She is concerned because elevated blood sugar combined with inflammation (from PMR) has the potential of causing inflammation in the arteries, which leads to eventual plaque deposits.
My cholesterol appears normal, in fact excellent. My HDL is 111 and LDL is 75, ratio of 1.8; however, she did a more detailed test and the LDL particles are small and medium sized enough of them to cause possible problems in the mid range in the future. I also test positive for genetic predisposition to circulatory disease. (LPa). This is what decided her on the Statin.
I am on my second day of 20 mg of Pravastatin and so far so good. No side effects, yet.
I am going for follow up blood tests in mid-October.
pat38625 paula63201
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paula63201 pat38625
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Hi Pat,
No need to apologize. It is interesting to know about you.
Sounds like you have it very tough. I cannot imagine both ME and PMR! I have a friend who has ME and from one day to the next, she can feel well and then awful and weak the next. So debilitating.
That you are down to 9 mg Prednisone sounds good, though. For most people, it does go into remission, but takes time and patience. I know 3 people in my circle of friends and acquaintances, who are Prednisone free and well for a number of years.
I wish you all the best.
Paula
But indeed, you are a medical puzzle, as with all that effort one would think the pounds would just fall off.
EileenH paula63201
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My husband's fasting BS is 109 - despite being very underweight - and after a lot of messing about it was decided that he is just one of those people who run a high fasting BS.
Nothing would induce me to go on a statin on the basis of that - but then, I've had a really bad response to statins and nearly ended up needing a wheelchair! And that was after about 10 days, taking it on alternate days. Never again!
ptolemy paula63201
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Also I was talking to someone from Pfizer who said that Simvastatin and pred can be contra indicative, I think they may even mention it on their website. I am not sure if that is also true of other statins.
EileenH ptolemy
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Simvastatin is the one statin I know of which actually has PMR as a listed side effect - so hardly an ideal one for us. There are also reports in the medical literature of studies which show a clear association of PMR with statins - PMR is about 10 times more common amongst patients on a statin (all sorts) than patients who are not taking one.
lodgerUK_NE pat38625
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If Simvastatin insist on a change.
There is a Professor up here (cardio guy) who won't have Simvastatin at any price, for anyone.
pat38625 paula63201
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pat38625 EileenH
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My son is on 40mg of Lipitor due to his high blood pressure due to his kidney disease.
Not everyone gets on with statins and its great that you got off them asap. Scary stuff when side effects are major production.
pat38625 lodgerUK_NE
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paula63201 EileenH
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Thanks for weighing in. I wonder if I should start every other day, also. The doc says that 20 mg is a low dose.
The doc warned me that if I have any side effects from the statin, specifically pain, I am to stop. I also asked the pharmacist and she concurred and said to stop taking it and call the Doc. She knows what other meds I take and did not warn me not to take the statin. (Premarin, Prednisone, Pantoprazole and Gabapentin)
I really would prefer not to take it, but am giving it a try, in view of the future.
Hearing about your husband's normal 'elevated' blood sugar, Eileen, I wonder if mine could be my physiology. I think prior to being on Prednisone, my normal ranged from 86-90to 90s (something). My white WBC is always below the range, and is considered normal for me. (The only reason I know this, is that my Grandfather died of Leukemia and my cousin had it, so my family gets blood tested periodically.) I rarely get infections.
Cheers,
Paula
ptolemy pat38625
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paula63201 ptolemy
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I'll look for it. I prefer to walk into things eyes wide open.
paula63201
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EileenH paula63201
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paula63201 EileenH
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I think I may stop taking the darned statin, being so borderline in need for it. I went on line and did some checking.
I read that if you get a yeast thing (thrush), while on a statin, you cannot take some of the antifungals. Thrush can be a side effect while on prednisone and I have gotten it after taking an antibiotic.
Also, you cannot take Erythromycin (Ery-Tab) or Clarithromycin (Biaxin) or Flagyl (antifungal). I am allergic to Sulfa, and won't take Cipro ever again, especially not while on Prednisone, so these are often the antibiotic of choice for me.
ptolemy paula63201
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paula63201 ptolemy
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ptolemy paula63201
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