diabetes
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That's a tough question because most budesonide treatments usually don't last but a few months. It takes much longer for diabetes to develop, as a rule. But there's no question that corticosteroids increase the risk of developing diabetes. IMO that happens because they deplete magnesium, and chronic magnesium deficiency causes insulin resistance, which can lead to diabetes if not corrected.
There's a short article about this very topic in the last issue of the Microscopic Colitis Foundation Newsletter. Here's a direct link to a PDF of the article:
http://www.microscopiccolitisfoundation ... ssue_2.pdf
Tex
There's a short article about this very topic in the last issue of the Microscopic Colitis Foundation Newsletter. Here's a direct link to a PDF of the article:
http://www.microscopiccolitisfoundation ... ssue_2.pdf
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.
MJ,
Something in your diet (either a food or cross-contamination) is almost surely causing the persistent symptoms.
Lack of energy is a very common symptom of MC. The immune system consumes a lot of energy fighting the inflammation and trying to heal it. But your immediate problem is probably due to magnesium deficiency. Or it may be due to a vitamin D deficiency. Do you know your vitamin D test level? IBDs deplete both magnesium and vitamin D due to the malabsorption problem that they cause. The corticosteroids (such as budesonide) that are used to treat IBDs deplete magnesium and vitamin D. Virtually all MC patients have a magnesium deficiency, and most have a vitamin D deficiency (unless they're taking a supplement).
Both magnesium deficiency and vitamin D deficiency cause low energy levels. Another common cause of low energy is a low iron level. Is your ferritin level well up in the normal range? Increasing one's iron level is difficult, because most iron supplements cause digestive system problems. Because of that, it often takes many months (or a year or so) to resolve an iron deficiency. Correcting vitamin D and magnesium deficiencies is usually much easier, but it still tends to take several months.
Another possibility is iron deficiency anemia (iron deficiency caused by a deficiency of vitamin B-12. IBDs also slowly deplete the B vitamins. Are you taking any vitamin B-12?
If you are having other symptoms (or lab test results) that indicate possible prediabetes, then it should be checked out, but I can tell you from personal experience that a chronic magnesium deficiency can cause the clinical symptoms of diabetes or prediabetes. And yes, a magnesium deficiency can eventually lead to diabetes. But it's unlikely that it would develop in a year unless you were already in a condition known as prediabetes before you started the budesonide treatment. IMO the fact that you have been taking budesonide for about a year virtually guarantees that you have a magnesium deficiency by now, unless you have been taking a substantial magnesium supplement (the RDA or above).
If you aren't already taking them, I would try some vitamin D and magnesium supplements, and get my iron level checked to rule out iron deficiency/iron deficiency anemia. The low-carb diet that most of us here follow also prevents/treats diabetes/prediabetes.
I hope that some of this is helpful.
Tex
Something in your diet (either a food or cross-contamination) is almost surely causing the persistent symptoms.
Lack of energy is a very common symptom of MC. The immune system consumes a lot of energy fighting the inflammation and trying to heal it. But your immediate problem is probably due to magnesium deficiency. Or it may be due to a vitamin D deficiency. Do you know your vitamin D test level? IBDs deplete both magnesium and vitamin D due to the malabsorption problem that they cause. The corticosteroids (such as budesonide) that are used to treat IBDs deplete magnesium and vitamin D. Virtually all MC patients have a magnesium deficiency, and most have a vitamin D deficiency (unless they're taking a supplement).
Both magnesium deficiency and vitamin D deficiency cause low energy levels. Another common cause of low energy is a low iron level. Is your ferritin level well up in the normal range? Increasing one's iron level is difficult, because most iron supplements cause digestive system problems. Because of that, it often takes many months (or a year or so) to resolve an iron deficiency. Correcting vitamin D and magnesium deficiencies is usually much easier, but it still tends to take several months.
Another possibility is iron deficiency anemia (iron deficiency caused by a deficiency of vitamin B-12. IBDs also slowly deplete the B vitamins. Are you taking any vitamin B-12?
If you are having other symptoms (or lab test results) that indicate possible prediabetes, then it should be checked out, but I can tell you from personal experience that a chronic magnesium deficiency can cause the clinical symptoms of diabetes or prediabetes. And yes, a magnesium deficiency can eventually lead to diabetes. But it's unlikely that it would develop in a year unless you were already in a condition known as prediabetes before you started the budesonide treatment. IMO the fact that you have been taking budesonide for about a year virtually guarantees that you have a magnesium deficiency by now, unless you have been taking a substantial magnesium supplement (the RDA or above).
If you aren't already taking them, I would try some vitamin D and magnesium supplements, and get my iron level checked to rule out iron deficiency/iron deficiency anemia. The low-carb diet that most of us here follow also prevents/treats diabetes/prediabetes.
I hope that some of this is helpful.
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.
Most of us take 300–400 mg of magnesium, preferably in the form of magnesium glycinate, but some take more. Some use topically-applied magnesium in the form of magnesium oil or lotion, or Epsom salt foot soaks, for part of the magnesium if they don't tolerate that much oral magnesium well.
Most of us take from 3,000–5,000 IU of vitamin D. Some take more, some take less.
Tex
Most of us take from 3,000–5,000 IU of vitamin D. Some take more, some take less.
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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dolson
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Prednisone, Steroids and BOOP PNEUMONIA
I have Type 1 diabetes and will never take Prednisone again. I would rather DIE than take the hellish drug! I was on it for 6 months along with tapering off. Doctors only give their family, children and grandchildren small amounts of Prednisone or Steroids, but give it to their patients like CANDY - YES CANDY! BOOP PNEUMONIA is INFLAMMATION OF THE LUNGS! Just like what's in our Gut. It looks like white clouds on an X-Ray.
Dr. Gary R. Epler, pulmonologist, obtained his medical degree from Tulane and his master's degree from Harvard. He informed me that Erythromycin, an antibiotic of the macrolide family gets rid of inflammation. It appears to have an anti-inflammatory component tucked away in it's mode of action. It has an ability to neutralize one of the chemical factors responsible for causing inflammation. My pulmonologist used this drug on a BOOP PNEUMONIA patient and it worked. Inflammation gone! Takes longer than steroids, but is effective without the bad side effects. If it will work in our lungs, it will work in our gut, since Dr. Fine informed me that lung and gut cellular tissue is similar. Side effects are diarrhea, nausea, abdominal pain and vomiting. I have taken this medication and did not experience these side effects. This was a long time ago before I was diagnosed with MC! This is worth trying. It WORKS!
Dr. Epler is a great physician! His book is called: <B>BOOP: YOU'RE THE BOSS, you can manage it.</B> A magnificent read and you can buy his book online. I cherish his work.
Dr. Gary R. Epler, pulmonologist, obtained his medical degree from Tulane and his master's degree from Harvard. He informed me that Erythromycin, an antibiotic of the macrolide family gets rid of inflammation. It appears to have an anti-inflammatory component tucked away in it's mode of action. It has an ability to neutralize one of the chemical factors responsible for causing inflammation. My pulmonologist used this drug on a BOOP PNEUMONIA patient and it worked. Inflammation gone! Takes longer than steroids, but is effective without the bad side effects. If it will work in our lungs, it will work in our gut, since Dr. Fine informed me that lung and gut cellular tissue is similar. Side effects are diarrhea, nausea, abdominal pain and vomiting. I have taken this medication and did not experience these side effects. This was a long time ago before I was diagnosed with MC! This is worth trying. It WORKS!
Dr. Epler is a great physician! His book is called: <B>BOOP: YOU'RE THE BOSS, you can manage it.</B> A magnificent read and you can buy his book online. I cherish his work.