Prednisone induced diabetes

Posted , 12 users are following.

Does anyone know what the odds are of getting Prednisone induced diabetes? Also is there a diet that can help stave off prednisone induced diabetes?

1 like, 10 replies

10 Replies

  • Posted

    don't know the odds, but prednisone can create the condition that increases the chance of developing diabetes.  You will find many suggestions that talk about changing diet and eliminating ( or drastically reducing) carbs in a diet that helps with weight as well as it reduces "spikes" in insulin related to pred . Moderate exercise also helps processing carbs better and keeping weight down.

    • Posted

      I am on a low carb diet but I have been hurting to much to excercise. I have lost 10 pounds since i got PM R just by diet.
  • Posted

    Studies show that about 10% of people on glucocorticoid steroids (like Pred) get diabetes.  Clues in the name, of course.  Interestingly, my appetite for sweeter things almost diminished significantly when I started the steroids.  Hopefully that means my biological feedback mechanisms are working well and I won't get diabetes. But my GP suggested that even if I did get it, it would be seen as steroid-induced and he implied that was less serious.  Not sure why that might be, unless it isn't as bad (eg. somehow not full-blown) or disappears once the steroids are reduced or eliminated.

    • Posted

      Sorry, I should have added that the 10% risk of diabetes was measured over five years.   
    • Posted

      Strange thing to say - I suppose he means that as you reduce the pred it is likely to go away which perhaps "ordinary" Type 2 doesn't usually though the evidence now is that you can reverse it with diet (the Newcastle study).

      Whatever causes raised blood glucose and sustained high levels, the body is still being subjected to it and damage being done to the tissues. It doesn't matter WHY, the effects are the same.

  • Posted

    Cutting carbs drastically will help a lot - and also with the weight gain problem. 

    Pred changes the way your body processes carbs and, as well as the rises in BS due to your meals, the liver also releases random spikes of glucose at various times. Each time the BS shoots up, it contributes to the average level of glucose in the blood and raises it. By cutting carbs, especially processed simple carbs (white sugar, white flour, most packaged goods for example) you can reduce that effect. So although about 1 in 10 may be at risk of developing pred-induced diabetes, you can do something to help.

    Like dmart I lost my taste for sweet things when I started pred - we are a bit unusual though! 

    You say you hurt too much to exercise - are you taking enough pred to manage your symptoms and what sort of exercise have you tried and how?

    • Posted

      I was pain free except a few aches in the morning until i went from 20mg to 17.5.. that was 2 months ago and i have hurt every day since. My Dr. then wanted me to go to 15. I told him i was going back to 20 and from now own i will reduce by the dsns method. I went back to 20 mg on March 20 and I am already feeling a little better. I am going to start walking with nordic poles next week.
  • Posted

    Hi Bella, I have been taking predisone for 6 years and have just developed diabetes. it is rampant within the family but am now following the ideas (not recipes) ' the 8 week blood sugar diet' written by Dr Michael Mosley, on how to prevent and reverse type 2 diabetes. I have also upped my exercise, doing a 3 mile walk, half a mile swim and a second 2 mile walk almost daily....I won't know whether I will achieve anything, or even if I will lose weight as I am not going to weigh myself until I next see the diabetic nurse in three months...BUT at least I can say I have given my best effort!!! Mind you, I did slip up on Friday when I had to make 5 dozen chocolate fairy cakes, and completely without thinking put my fingers round the bowl..!! it tasted good!!

    Good luck!!

  • Posted

    Bella, I wonder if there is a genetic component. I eat whatever I want, within reason, and my fasting blood sugars are ~ 60. This is low and I always was this low before pred.

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