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New to PMR--Diabetic

Posted , 14 users are following.

rich38490
rich38490

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.

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  • EileenH
    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
      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
    Michdonn rich38490

    Posted

    Rich, sorry you are starting on another journey. I to am a diabetic, type 2, have been that I know for 56 years. At first I control with just diet and exercise, then oral medication which I am still on. We both know what is going to effect our glucose readings, we cannot eat it! The Prednisone has adverse effects on our bodies, but to be PMR pain free it is Necessary! I also am on anti-inflammatory diet, balancing act, but I am getting my BS reading under control and PMR pain free and very active physically. Good luck, stay active, positive and try to smile. ☺️
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