sad day
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sad day
I've been feeling dizzy after eating, yesterday my glucose levels after eating, 1 hour, worse, were 227 mg, and after 4 hours were normal again, my diet contains potato, banana, rice and protein, and some Apple and sweet and bread without gluten and proteins.No longer is that I can eat, vegetables and fruit I feel bad.My doctor said that it was by budesonide, and has commanded me to do endocrine tests.It changed my treatment by mesalazine 2grms.I'm sad, 3 mg budesonide I remained in remission. He has also told me that if I need budesonide can be managed along with insulin.After eating high glucose removed to stop taking Corticoid?, my glucose in fasting are normal.
Hi Marijo,
Yes, budesonide can increase blood glucose levels for someone who has diabetes. However, this problem can usually be easily corrected by increasing the dosage of insulin or antidiabetic tablets. If budesonide works for you at such a low dose, he should have recommended changing your diabetes treatment instead of changing your MC treatment from budesonide to mesalamine. For some of us, mesalamine makes our symptoms worse, not better.
Tex
Yes, budesonide can increase blood glucose levels for someone who has diabetes. However, this problem can usually be easily corrected by increasing the dosage of insulin or antidiabetic tablets. If budesonide works for you at such a low dose, he should have recommended changing your diabetes treatment instead of changing your MC treatment from budesonide to mesalamine. For some of us, mesalamine makes our symptoms worse, not better.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Thanks tex.Iamb not diabetic or did not know before taking budesonide.My routine analytical never gave evidence of this, the glucose in fasting is 81mag, and glycosylated hemoglobin is normal. may this correspond to an abuse of carbohydrates in my diet?This has been a surprise to me, has never been diabetic so far can be by budesonide and to remove it to reduce glucose levels after eating?, are the only ones that are elevated.Thanks a lot.
Marijo,
Yes, if your fasting glucose level is 81, then you do not have diabetes. In that case the glucose increase might be due to stress. Stress increases cortisol levels, and cortisol raises glucose levels. Budesonide increases cortisol also. Normally this is not a problem., but if cortisol is also increased because of stress, then the combination can cause a problem due to high blood glucose.
Your doctor is probably correct when he says that the high glucose is caused by the budesonide. However, if you were having a lot of stress when your blood test was done, then the high glucose result could have been due to stress.
Tex
Yes, if your fasting glucose level is 81, then you do not have diabetes. In that case the glucose increase might be due to stress. Stress increases cortisol levels, and cortisol raises glucose levels. Budesonide increases cortisol also. Normally this is not a problem., but if cortisol is also increased because of stress, then the combination can cause a problem due to high blood glucose.
Your doctor is probably correct when he says that the high glucose is caused by the budesonide. However, if you were having a lot of stress when your blood test was done, then the high glucose result could have been due to stress.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Although fasting blood glucose measures are a common way that diabetes is diagnosed, in may people postprandial blood glucose levels are a better first predictor of type 2 diabetes than fasting blood glugose:tex wrote:Marijo,
Yes, if your fasting glucose level is 81, then you do not have diabetes. In that case the glucose increase might be due to stress. Stress increases cortisol levels, and cortisol raises glucose levels. Budesonide increases cortisol also. Normally this is not a problem., but if cortisol is also increased because of stress, then the combination can cause a problem due to high blood glucose.
Your doctor is probably correct when he says that the high glucose is caused by the budesonide. However, if you were having a lot of stress when your blood test was done, then the high glucose result could have been due to stress.
Tex
http://care.diabetesjournals.org/conten ... 1.abstract
In this research blood glucose levels over 155 one hour after eating were considered predictive of type 2 diabetes even if the fasting blood glucose is "normal".
According to this site:
http://www.phlaunt.com/diabetes/16422495.php
"Independent of what they eat, the blood sugar of a truly normal person is:
Under 120 mg/dl (6.6 mmol/L) one or two hours after a meal.
Most normal people are under 100 mg/dl (5.5 mmol/L) two hours after eating."
Jean
Jean,
Good point, and I certainly agree, but the test is "predictive" of type 2 diabetes, not necessarily diagnostic. And while her glucose level of 227, 1 hour postprandial is definitely concerning, her blood glucose level at 2 hours and 4 hours postprandial would be more important. It appears that she is probably at a "pre-diabetic" stage, and she will almost certainly need to address the issue at some point in the future (probably in the near future).
I mentioned the possibility of a stress-induced glucose excursion, simply because when we're in a stressful situation, adrenalin promotes elevated blood glucose levels as part of the "fight or flight" response, and white coat syndrome can contribute to the stress level.
And I was hoping to avoid posts such as this, because this post is going to cause all sorts of misunderstandings after it goes through the Google translator.
Tex
Good point, and I certainly agree, but the test is "predictive" of type 2 diabetes, not necessarily diagnostic. And while her glucose level of 227, 1 hour postprandial is definitely concerning, her blood glucose level at 2 hours and 4 hours postprandial would be more important. It appears that she is probably at a "pre-diabetic" stage, and she will almost certainly need to address the issue at some point in the future (probably in the near future).
I mentioned the possibility of a stress-induced glucose excursion, simply because when we're in a stressful situation, adrenalin promotes elevated blood glucose levels as part of the "fight or flight" response, and white coat syndrome can contribute to the stress level.
And I was hoping to avoid posts such as this, because this post is going to cause all sorts of misunderstandings after it goes through the Google translator.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Tex,
I put off responding to this thread because I am aware that the diagnosis and treatment of type 2 diabetes can be a contentious issue and I didn't want to inadvertently stir up controversy but it bothered me because a 1 hour reading of 227 is, from my perspective, worrisome, at the very least. I decided that I would just put that out there. There is a history of type 2 diabetes in my family, with severe complications like limb amputations, so I tend to be very cautious with my diet, not wanting to suffer that fate. I certainly didn't mean to stir up translation issues along with medical/diagnostic issues.
Jean
I put off responding to this thread because I am aware that the diagnosis and treatment of type 2 diabetes can be a contentious issue and I didn't want to inadvertently stir up controversy but it bothered me because a 1 hour reading of 227 is, from my perspective, worrisome, at the very least. I decided that I would just put that out there. There is a history of type 2 diabetes in my family, with severe complications like limb amputations, so I tend to be very cautious with my diet, not wanting to suffer that fate. I certainly didn't mean to stir up translation issues along with medical/diagnostic issues.
Jean
Jean,
I hear you. It bothers me a lot that her doctors didn't immediately pick up on that. When I wrote the first post, I was hoping that maybe they did, and they decided that she wasn't yet a candidate for a diagnosis. But deep down I'm thinking the same thing that you're probably thinking — namely that if she's dealing with a specialist, the specialist has the old "not my turf" syndrome, and he doesn't give a hoot about that test result. Or else her PCP only considers fasting blood test results to be significant.
It's good that you brought it up, because sooner or later, it will need to be addressed. I suppose that the budesonide might have boosted her glucose level significantly, but I have no idea what a typical response might be. I kind of doubt that a corticosteroid could boost someone's glucose level that much, unless they were having insulin issues to begin with.
Hopefully, by now Tessa is helping Marijo with the translations.
Tex
I hear you. It bothers me a lot that her doctors didn't immediately pick up on that. When I wrote the first post, I was hoping that maybe they did, and they decided that she wasn't yet a candidate for a diagnosis. But deep down I'm thinking the same thing that you're probably thinking — namely that if she's dealing with a specialist, the specialist has the old "not my turf" syndrome, and he doesn't give a hoot about that test result. Or else her PCP only considers fasting blood test results to be significant.
It's good that you brought it up, because sooner or later, it will need to be addressed. I suppose that the budesonide might have boosted her glucose level significantly, but I have no idea what a typical response might be. I kind of doubt that a corticosteroid could boost someone's glucose level that much, unless they were having insulin issues to begin with.
Hopefully, by now Tessa is helping Marijo with the translations.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
I am considered diabetic, but manage it thru diet. Her diet seems high in carbs which for me would give similar numbers. I very carefully manage the amount of carbs so as not to get those spikes. My fasting sugar is 87-98 but if I eat too much carb at a meal, it would skyrocket. Perhaps she would be wise to monitor each meals carbs and Daily totals. Coreg has a tendency to raise sugar levels also.
Just my experience, for what it's worth.
Just my experience, for what it's worth.
"It is very difficult to get a man to understand something, when his salary depends upon his not understanding it. "
Upton Sinclair
Upton Sinclair
Good morning. I am making a great effort to be able to communicate with you, but me hard through a translator, the intententare.I think the best thing to do is to make a correct diagnosis of a possible diabetes.I have appointment with the Endocrinologist and on Friday day 3 made me a test standard of provocation with glucose.If the call "steroid diabetes" or induced by corticosteroids, but the reality is that it tends to occur in people with a family history and a genetic basis.I also believe that my postpandiales figures are very high, I'm scared by this, but I can only hope a correct diagnosis.It is true that in my diet there is an excess of carbohydrates, since I only tolerate rice, white potato... which are foods with large load Glycemic. My worst fear is diabetes+ MC do have the possibilities of food?I'm really worried.I hope really that they can understand this is difficult for my.I'm sorry.
Hi Marijo,
Yes, it is possible to have a diet that is safe for both MC and diabetes. We have other members who have both these problems. Some members have been dealing with diabetes for most of their life. We will have to develop a diet that is safe and effective for you.
I understand a little Spanish, but I'm afraid to use it because it's Tex-Mex, and it might lead to misunderstandings.
Tex
Yes, it is possible to have a diet that is safe for both MC and diabetes. We have other members who have both these problems. Some members have been dealing with diabetes for most of their life. We will have to develop a diet that is safe and effective for you.
I understand a little Spanish, but I'm afraid to use it because it's Tex-Mex, and it might lead to misunderstandings.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
TeX, you are truly friendly, I think you should write another book of MC other pathologies, it is only an idea.Thank you very much for your quick response and always attentive.I wish good health to the year 2014 and much happiness for the year 2014 to all participants of the Forum.No matter that his Spanish tex-mex, my American is google-mex
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wmonique2
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sad day
Hola Coco,
Yo veo que usted es Espanola...Le queria responder direttamente porque yo soy diabetica for 40 anos (da jovencita y tomo insulina) y hace 2 anos sube que tenia colitis. Asi tengo los dos y manejp los dos. No es facil pero ce puede hacer. Yo tengo que tomar insulina y esso complica las cosas un po mas.
Ahora, el asucar sube para todos. Con diabetes or sin. A las dos horas tiene de devolverse de bajo de 200. Es normal. Pero que sea 227 a la hora es normal. Me parece que usted se esta preocupandoce por nada. Tome el budesonide y no me subio el asucar de nada.
Usted me puede escribir en Espanol---aunque hago faltas de gramatica de verz en cuando, le puede responder.
(Vive unos anos en Madrid, da joven :-)
Feliz ano nuevo,
Monique
Yo veo que usted es Espanola...Le queria responder direttamente porque yo soy diabetica for 40 anos (da jovencita y tomo insulina) y hace 2 anos sube que tenia colitis. Asi tengo los dos y manejp los dos. No es facil pero ce puede hacer. Yo tengo que tomar insulina y esso complica las cosas un po mas.
Ahora, el asucar sube para todos. Con diabetes or sin. A las dos horas tiene de devolverse de bajo de 200. Es normal. Pero que sea 227 a la hora es normal. Me parece que usted se esta preocupandoce por nada. Tome el budesonide y no me subio el asucar de nada.
Usted me puede escribir en Espanol---aunque hago faltas de gramatica de verz en cuando, le puede responder.
(Vive unos anos en Madrid, da joven :-)
Feliz ano nuevo,
Monique
Diagnosed 2011 with LC. Currently on Low Dose Naltrexone (LDN)
Hola Coco,my diet contains potato, banana, rice and protein, and some Apple and sweet and bread without gluten and proteins
Yo creo que tu dieta puede tener la culpa porque esas comidas tienen azucares y carbohidratos excesivos. Para reducir el "glycemic load" debes comer camotes en vez de papas blancas, y hervir los, en ves de hornear. Debes comer bastante proteina y grasa (de animal y aceites de coco y oliva) con los carbohidratos y mas verduras. Talves verduras cocidas en caldo como zuchini, calabaza, chayote y zanahorias te caen bien?
Yo he tomado prednisona por mas de un anio, y gracias a Dios, no me afecta los niveles de azucar, pero yo como una dieta casi estilo Paleo, con poca azúcar y sin granos (solo un poco de arroz y tapioca).
Buena suerte con los exámenes.
1987 Mononucleosis (EBV)
2004 Hypomyopathic Dermatomyositis
2009 Lymphocytic Colitis
2010 GF/DF/SF Diet
2014 Low Dose Naltrexone
2004 Hypomyopathic Dermatomyositis
2009 Lymphocytic Colitis
2010 GF/DF/SF Diet
2014 Low Dose Naltrexone
Hi Manque, happy new year.I also live in Madrid, his Spanish is very correct and easy to understand for me, but don't worry, with the translator can continue to learn from all of you, what does not, is the result which will have my messages after going through my translator.I hope that the result is coherent.My problem is finding gluten and sugar free products.But until morning does not make me the analysis to know an exact diagnosis.Budesonide dropped me and I am mesazalina 2 gar.So far so good.Taking this medication the enterolab test can I do?, how long to wait after stopping budesonide for the test?.
Zizzle, it is true that my diet was high in carbohydrates, but I doubt in what I can eat until you do not order my enterolab test and I have just diet for colitis, rice, potato, carrot and proteins... maybe this raised my glucose levels.When I have my results I do not hesitate to consult them, they are so nice...Manque, I think that you will be a good guide for my. Zizzle Happy 2014 also for you.
Zizzle, it is true that my diet was high in carbohydrates, but I doubt in what I can eat until you do not order my enterolab test and I have just diet for colitis, rice, potato, carrot and proteins... maybe this raised my glucose levels.When I have my results I do not hesitate to consult them, they are so nice...Manque, I think that you will be a good guide for my. Zizzle Happy 2014 also for you.