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  #1  
Old 11-08-2006, 10:08 PM
Cloudedbrains
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Default Apologies

If I snapped at people last night I am sorry !!
It was a problem elsewhere that had wound me not people here SORRY !!

Perhaps one day I will describe my whole list of medical issues - perhaps
then people may understand why every piece of advice I have been given is
discussed with my medical team GP - GP's nurse - DSN !!

I don't ignore what people say but I discuss it with my team and my team
know my health issues and know how best to work things amongst my other
health issues !!

I do appreciate everything that people have said but like I have already
said I do discuss it with my team before acting on any of it !!

If people are interested I will described the quagmire that is me health (or
lack of it) because of medical issues BUT I will not waste the time (its so
complicated it does take time to explain it) if people are not interested !!

My team fully comprehend my medical issues as it seriously complicates how
things are having to be done with my diabetes now !!
Basically my diabetes is a side-effect of medication I take just to breathe
but that is ONE issue - it goes alot further than I have told people !!

THANKS for reading this !!

DOnna


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  #2  
Old 11-08-2006, 10:08 PM
Cheri
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Default Re: Apologies

I don't have any answers for you Donna, but I wish you the best. :-)

--
Cheri

Cloudedbrains > wrote in message ...

>My team fully comprehend my medical issues as it seriously complicates

how
>things are having to be done with my diabetes now !!
>Basically my diabetes is a side-effect of medication I take just to

breathe
>but that is ONE issue - it goes alot further than I have told people !!
>
>THANKS for reading this !!
>
>DOnna
>
>



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  #3  
Old 11-08-2006, 10:08 PM
Cloudedbrains
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Default Re: Apologies

Thanks Cheri


"Cheri" <gserviceatinreachdotcom> wrote in message
news:zeKdneNqweTitavYnZ2dnUVZ_s2dnZ2d@inreach.com. ..
>I don't have any answers for you Donna, but I wish you the best. :-)
>
> --
> Cheri



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  #4  
Old 11-08-2006, 10:08 PM
Ozgirl
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Default Re: Apologies

Cloudedbrains" <donna_williamson"@ wrote:
> If I snapped at people last night I am sorry !!
> It was a problem elsewhere that had wound me not people

here SORRY !!
>
> Perhaps one day I will describe my whole list of medical

issues -
> perhaps then people may understand why every piece of

advice I have
> been given is discussed with my medical team GP - GP's

nurse - DSN !!
>
> I don't ignore what people say but I discuss it with my

team and my
> team know my health issues and know how best to work

things amongst
> my other health issues !!
>
> I do appreciate everything that people have said but like

I have
> already said I do discuss it with my team before acting on

any of it
> !!
>
> If people are interested I will described the quagmire

that is me
> health (or lack of it) because of medical issues BUT I

will not waste
> the time (its so complicated it does take time to explain

it) if
> people are not interested !!
>
> My team fully comprehend my medical issues as it seriously
> complicates how things are having to be done with my

diabetes now !!
> Basically my diabetes is a side-effect of medication I

take just to
> breathe but that is ONE issue - it goes alot further than

I have told
> people !!
>
> THANKS for reading this !!


Just one thing to remember Donna. The taking of insulin is
just exogenously giving your body what it would naturally do
itself if you weren't either on steroids or a type 1
diabetic, or type 2 with very impaired beta cell function
etc. In other words using insulin is something quite
"normal" for the body. It's not like you would be taking
another medication which possibly could upset the applecart
that is your current medical life. Using insulin to correct
the steroid effect wouldn'y be adding to your list of
problems. In fact it would be helping prevent a swag of
other problems. Kidney problems can develop very quickly
with lon term high bg's.

Even type 2's are rarely in a very high range long term
before diagnosis. They might rumble along with highish
numbers for quite a while but once they get very high, the
body feels it in a big way, what usually gets a person off
to the doctor for diagnosis. I think you can agree that
steroids are not going to go away for you.

A little help with fast acting insulins can take you out of
this territory where you are asking for serious problems.
Unfortunately diabetes is one disorder where we need to be
more rather than less proactive when it comes to treatment.
My kids' stepbrother has steroid induced diabetes, he is 9
years old. He was put on Lantus and a fast acting insulin
immediately, he is still very overweight so he is also on
Metformin. What people are suggesting here to you is common
practice. Many of us have been here for years and watched
how some people suffer from under doctoring. I can
understand your thoughts about not adding anything to the
mix but insulin is just replacing what is natural not adding
a drug.

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  #5  
Old 11-08-2006, 10:08 PM
Cloudedbrains
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Default Re: Apologies


"Ozgirl" <are_we_there_yet@maccas.com> wrote in message
news:25qZg.49345$rP1.30438@news-server.bigpond.net.au...
>What people are suggesting here to you is common
> practice. Many of us have been here for years and watched
> how some people suffer from under doctoring. I can
> understand your thoughts about not adding anything to the
> mix but insulin is just replacing what is natural not adding
> a drug.



I dont know what is common practice treatment wise with insulin - just 2
weeks into it now.
All I know is why my DSN doesnt want me on short acting at present - all I
can do is see what my GP thinks - and not the DSN team.
But my GP isnt in this week so it will be next week at earliest.

Thankyou!


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  #6  
Old 11-08-2006, 10:08 PM
dumb_fishie99@yahoo.com
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Default Re: Apologies

Cloudedbrains wrote:
> If I snapped at people last night I am sorry !!
> It was a problem elsewhere that had wound me not people here SORRY !!
>
> Perhaps one day I will describe my whole list of medical issues - perhaps
> then people may understand why every piece of advice I have been given is
> discussed with my medical team GP - GP's nurse - DSN !!
>
> I don't ignore what people say but I discuss it with my team and my team
> know my health issues and know how best to work things amongst my other
> health issues !!
>
> I do appreciate everything that people have said but like I have already
> said I do discuss it with my team before acting on any of it !!
>
> If people are interested I will described the quagmire that is me health (or
> lack of it) because of medical issues BUT I will not waste the time (its so
> complicated it does take time to explain it) if people are not interested !!
>
> My team fully comprehend my medical issues as it seriously complicates how
> things are having to be done with my diabetes now !!
> Basically my diabetes is a side-effect of medication I take just to breathe
> but that is ONE issue - it goes alot further than I have told people !!
>
> THANKS for reading this !!



Well, I'm interested. I'd also be curious to know why your DSN
doesn't want you on fast-acting insulin. It will help me with my
own diabetes education.

Question for the group in general: Can steroids *cause* diabetes, or
just make your bg's worse?

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  #7  
Old 11-08-2006, 10:08 PM
Susan
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Default Re: Apologies

x-no-archive: yes

dumb_fishie99@yahoo.com wrote:

> Well, I'm interested. I'd also be curious to know why your DSN
> doesn't want you on fast-acting insulin. It will help me with my
> own diabetes education.
>
> Question for the group in general: Can steroids *cause* diabetes, or
> just make your bg's worse?
>


Steroids raise bg and cause insulin resistance. Metformin has been
found useful in reversing steroid induced IR, BTW.

Susan
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  #8  
Old 11-08-2006, 10:08 PM
dumb_fishie99@yahoo.com
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Default Re: Apologies


Susan wrote:
> x-no-archive: yes
>
> dumb_fishie99@yahoo.com wrote:
>
> > Well, I'm interested. I'd also be curious to know why your DSN
> > doesn't want you on fast-acting insulin. It will help me with my
> > own diabetes education.
> >
> > Question for the group in general: Can steroids *cause* diabetes, or
> > just make your bg's worse?
> >

>
> Steroids raise bg and cause insulin resistance. Metformin has been
> found useful in reversing steroid induced IR, BTW.



Hmm....so does that mean the IR would have to be looking to happen
anyway?

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  #9  
Old 11-08-2006, 10:08 PM
Susan
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Default Re: Apologies

x-no-archive: yes

dumb_fishie99@yahoo.com wrote:

> Hmm....so does that mean the IR would have to be looking to happen
> anyway?
>


I haven't looked that up, but my guess would be "no." IR can result any
time receptors are flooded by high insulin secretion, which the elevated
bg would call for. Receptors become inefficient in the face of so much
insulin.

The other confounding factor is that there are no routine screenings for
IR in folks to see who had it or a disposition for it before
commencement of steroid treatment. I'd suspect that it's just faster
and more severe in those who are on their way to IR or who have it to
some degree. That's basically everyone over 30 or 40, BTW, compared to
their youthful years.

Susan
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  #10  
Old 11-08-2006, 10:08 PM
dumb_fishie99@yahoo.com
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Default Re: Apologies


Susan wrote:
> x-no-archive: yes
>
> dumb_fishie99@yahoo.com wrote:
>
> > Hmm....so does that mean the IR would have to be looking to happen
> > anyway?
> >

>
> I haven't looked that up, but my guess would be "no." IR can result any
> time receptors are flooded by high insulin secretion, which the elevated
> bg would call for. Receptors become inefficient in the face of so much
> insulin.
>
> The other confounding factor is that there are no routine screenings for
> IR in folks to see who had it or a disposition for it before
> commencement of steroid treatment. I'd suspect that it's just faster
> and more severe in those who are on their way to IR or who have it to
> some degree. That's basically everyone over 30 or 40, BTW, compared to
> their youthful years.


Ok, thanks for the info!

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  #11  
Old 11-08-2006, 10:08 PM
Susan
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Default Re: Apologies

x-no-archive: yes

dumb_fishie99@yahoo.com wrote:
> Susan wrote:
>
>>x-no-archive: yes
>>
>>dumb_fishie99@yahoo.com wrote:
>>
>>
>>>Hmm....so does that mean the IR would have to be looking to happen
>>>anyway?
>>>

>>
>>I haven't looked that up, but my guess would be "no." IR can result any
>>time receptors are flooded by high insulin secretion, which the elevated
>>bg would call for. Receptors become inefficient in the face of so much
>>insulin.
>>
>>The other confounding factor is that there are no routine screenings for
>>IR in folks to see who had it or a disposition for it before
>>commencement of steroid treatment. I'd suspect that it's just faster
>>and more severe in those who are on their way to IR or who have it to
>>some degree. That's basically everyone over 30 or 40, BTW, compared to
>>their youthful years.

>
>
> Ok, thanks for the info!
>


Sure, but I erred in stipulating insulin "secretion." IR can also
develop with use of high levels of exogenous insulin. Receptors are
most sensitive when there' less hormone binding to them, basically.

Susan
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  #12  
Old 11-08-2006, 10:08 PM
Alan S
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Default Re: Apologies

On 18 Oct 2006 08:53:04 -0700, dumb_fishie99@yahoo.com
wrote:

>Question for the group in general: Can steroids *cause* diabetes, or
>just make your bg's worse?


We have had several posters here who were told by their
doctors that their form of type 2 was directly caused by
prednisone.

Two examples of several. Do a google groups search on
Prednisone and diabetes.

http://tinyurl.com/y5d93y
http://tinyurl.com/y7x5a9

Cheers, Alan, T2, Australia.
d&e, metformin 1000mg, ezetrol 10mg
http://loraltravel.blogspot.com/
latest: Alhambra
--
Everything in Moderation - Except Laughter.
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  #13  
Old 11-08-2006, 10:09 PM
Chris Malcolm
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Default Re: Apologies

dumb_fishie99@yahoo.com wrote:
> Cloudedbrains wrote:


> Question for the group in general: Can steroids *cause* diabetes, or
> just make your bg's worse?


Depends what you mean by "cause". Suppose you had a mild genetic
predisposition to diabetes, such that after decades of typical average
Wester carbohydrate abuse you'd develop diabetes at age 60. But at age
30 you took a lot of steroids, and consequently developed diabetes at
age 40. Would you consider that the steroids caused the diabetes?

You might like to say that the steroids caused the diabetes to come
earlier, since it would have happened anyway.

Now let's suppose that you're a healthy eating eccentric, so that
although typical Western carbohydrate abuse would push you into
diabetes at age 60, your healthy lifestyle has slowed down the
development to occur at age 90. For other unrelated reasons, however
you're going to die at age 85, so you won't ever actually become
diabetic. Unless you take steroids, which could pull the age of
diabetic diagnosis back to age 70, when you're still alive.

Would you say that in this case the steroids caused the diabetes?

--
Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

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  #14  
Old 11-08-2006, 10:09 PM
Chris Malcolm
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Default Re: Apologies

Alan S <loralgtweightandcarbs@gmail.com> wrote:
> On 18 Oct 2006 08:53:04 -0700, dumb_fishie99@yahoo.com
> wrote:


>>Question for the group in general: Can steroids *cause* diabetes, or
>>just make your bg's worse?


> We have had several posters here who were told by their
> doctors that their form of type 2 was directly caused by
> prednisone.


> Two examples of several. Do a google groups search on
> Prednisone and diabetes.


> http://tinyurl.com/y5d93y
> http://tinyurl.com/y7x5a9


Or prednisolone, the preferred UK prescription rather than
prednisone. Whether or not it is appropriate to say that my
prednisolone use caused my diabetes depends on what kind of cause
you're talking about. It certainly seems likely that my diabetes would
at least have developed at a later age without spending months with a
raging appetite and inflating like a balloon while I was on the
highest dose, and then spending years with boosted blood sugars while
I was trying to come off the steroid.

--
Chris Malcolm cam@infirmatics.ed.ac.uk DoD #205
IPAB, Informatics, JCMB, King's Buildings, Edinburgh, EH9 3JZ, UK
[http://www.dai.ed.ac.uk/homes/cam/]

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