New to PMR--Diabetic
Posted , 14 users are following.
Hi folks. Just started this journey. I was an avid workout guy about 2 months ago and thought my pain symptoms meant I had "overused" muscles. So I dialed my workout way back...pain still. I finally ended up with a diagnosis of PMR. So my first visit with the RA folks, ended up with 800 mg of ibuprofen three times a day. She said she was reluctant to prescribe prednisone in that I am a Type 1 diabetic. It seems to me my sugars have been extremely high due to the stress of the pain. Any comments. Thanks. Rich in South Texas.
1 like, 24 replies
EileenH rich38490
Posted
Find yourself a better doctor - long term high dose ibuprofen probably has worse side effects overall than pred for a Type 1 diabetic. A friend of mine ended up in the ER with a gastric bleed after just 3 doses of ibuprofen for PMR. And for most people it doesn't work anyway. But PMR has a median duration of just under 6 years - do you really want to be taking that high a dose of ibuprofen for years?
Being on pred does tend to trigger the release of glucose by the liver - and adding that to the problems of diabetes also makes them worse. However - for Type 2 and steroid-induced diabetes cutting carbs drastically can lead to weight loss and improvement in the diabetes readings - quite a few people n the forums have got their Hba1c readings down to normal range by doing so. Type 1 diabetics can also get improved readings and require far less medication by cutting carbs - but of course you have to be careful to also adjust the insulin dose. The American Diabetes Association now recommend the low carb approach for the management of Type 1 diabetes.
rich38490 EileenH
Posted
Thank you. Another poster recommended the Ketogenic diet as well. I am going to come off the ibuprofen. I am not seeing much help from it anyway. Hopefully I will start the prednisone soon. I only wish I had attended these forums before I went to the doc.
Rich
Michdonn rich38490
Posted