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LISAPERSISTS60's Photo LISAPERSISTS60 Posts: 4,008
6/20/18 7:38 A

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Thank you All so very much! I feel so much better after reading your posts.
I’ve contacted doctors about insulin dosage and I had talked to a dietician awhile back but going to see about another visit. Also the great advice on what to add and stay away from, which I should be doing anyway. I’m still not happy about the gain but I will be feeling better so should be able to move more so that’ll help some. Knowing that the weight will leave when I stop taking it helps a lot.
You all had great advice and I’m taking it all in. Thank you for taking the time to see me through my panic and for all of your support. It helped me so much.

Lisa




Even if you lose 1/2 a pound a week you'll still lose 26 lbs by this time next year. JUST KEEP GOING


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IGSBETH's Photo IGSBETH SparkPoints: (208,253)
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6/19/18 12:28 P

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I don't have any advice, but I think you are wise to tackle this problem head on.

URBANREDNEK Posts: 4,474
6/19/18 9:42 A

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Sorry to hear about the RA flare - I hope that the pred does the job and gets you past the flare without too many side-issues!

I have to endorse the recommendation to work with a Registered Dietitian to come up with a long-term eating plan that addresses all of your specific health issues, as well as gives you the support you need to get through temporary prednisone episodes with the least amount of side-effects / damage.

With your specific medical situation, I would suspect that the best permanent approach would be a low carb / high fat / moderate protein regime, focused on high Omega-3 fats (fatty fish, olive oil, flaxseed, walnuts) along with lots of high fibre, non-starchy vegetables with some high fibre berries. Since low carb diets tend to make the body retain less sodium, reduce or eliminate blood sugar spikes, and generally cause reduced hunger / appetite, using this approach should help to minimize the impact of the prednisone, as well as being sustainable long-term for better dietary management of the diabetes. The focus on the high Omega-3s (while decreasing the intake of Omega-6) is highly recommended as part of an anti-inflammatory diet, so may have a positive impact on minimizing your RA flares as well.

It is critical to work with a Registered Dietitian and your doctors when making a big change like this, so that insulin dosages can be altered as needed, and to ensure that you include any necessary supplementation (both prednisone and low carb can cause decreased potassium stores, for instance, so potassium / magnesium supplements can be critical in maintaining electrolyte balance).

Ideally, the change over to low carb will give you the associated decrease in appetite (so that you won't have the prednisone "Must EAT" effect!), as well as help keep the blood sugars in check. Including as much exercise as possible will also help, as will making and sticking to a scheduled eating plan (keep in mind that the prednisone causes APPETITE increases - not HUNGER increases, so there is no physical need to give in to the increased appetite!).

While there really isn't any way to avoid the added water retention from the prednisone, it will go away as soon as you are off of the drug. Otherwise, a solid dietary approach and as much exercise as you can safely include should keep you on your successful losing track.

All of the best to you, and I hope you get past the flare and feel much better soon!

Sir Terry Pratchett:

"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."


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SLIMMERKIWI's Photo SLIMMERKIWI SparkPoints: (276,084)
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6/18/18 8:53 P



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I would be inclined to ask your Dr for suggestions regarding this. Have you been referred to a Registered Dietitian? As a Diabetic you should been, particularly as you are now using insulin. If you have, then give him/her a call and ask for advice. If you haven't, ask your Dr for a referral to one for advice as it applies to you and YOUR health, and then you can get info for what to do in situations like this, sickness, etc.

My late husband often ended up on Prednisone for a few weeks at a time when he was having a Crohn's Disease flareup. Fortunately for him it never affected his appetite or caused him to gain weight.

I hope that you are soon feeling better.

Kris

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6/18/18 8:27 P

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I feel for you with the prednisone - what it does to blood sugar is no joke. Can you contact your endocrinologist? See what their thoughts are. They might adjust your bolus dose of insulin for this time period. Also keep exercising. Fortunately on the steroid you'll be feeling a little better for a time. Increase your walking or aerobic exercise if you can. But like Arch said, if you gain a little during this time its ok, it doesn't mean you've failed.



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CELTICLASSINLA's Photo CELTICLASSINLA SparkPoints: (13,337)
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6/18/18 7:19 P

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Lisa - when they were trying to stabilize my hearing I was on 60 mg of prednisone for 2-1/2 years and I actually lost 35# because I couldn't sit still. I had been told I would gain so I was prepared for that - not the drop. If you are only taking it for a couple of weeks and then going on a declining dosage you should be ok -

What helped me a lot during that time was to "exercise constantly" - watching TV I would do leg lifts or lift small weights over my head and out in front of me - and then mix it all up. I also made a point of walking wherever I could rather than getting in the car or taking the bus.

You have diabetes and what's more important than weight maintenance, loss or gain is to maintain your blood sugar levels by doing what ever that takes. If you talked with a dietician about a specific diet for diabetes perhaps s/he could help you develop one that would work temporarily with your meds - it could be as simple as eating several small meals.

I wish you all the best in fighting RA. Autoimmune diseases are difficult to balance out and you just have to take it one step at a time.

Sunny

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6/18/18 6:23 P



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Hi, Lisa !

How much weight do you "gain" when you take the prednisone ? if it's 2-3 pounds that's nothing to worry about. Prednisone is know to cause bloating and water retention in some people. So, if you do gain weight, it's not a fat gain. It's water retention. Once you're off the drug, do you lose the drug ?

If so, it could be like your cycle. Ever notice you gain weight during your menstrual cycle ? Is that a fat gain ? Nope. it's nothing more than a temporary water weight gain that passes in a few days.

If you know you gain weight, but then lose it once you go off, try not to beat yourself up. the gain is a side effect of the medication.

If the prednisone causes excess hunger, then you need to try to eat foods that keep you full for longer. Avoid highly processed foods, foods that are high in sugar. try to eat plenty of fresh fruit and veggies. if you can eat more healthfully, you may find you can keep your weight stable.

Also, if you don't lose weight in these next two weeks, that doesn't mean you're doing anything wrong. Instead of focusing on gaining or losing weight, focus on how the medication will help reduce some of the pain you've been feeling.

any weight you gain is a result of the medication. In fact, here's what I recommend. Stay off the scale for the next two weeks. If you know seeing a number that's too high will make you crazy, then don't weigh yourself. You can weigh yourself after you've stopped taking the medication.

Concentrate on eating wholesome foods that nourish your body. Feel better !


LISAPERSISTS60's Photo LISAPERSISTS60 Posts: 4,008
6/18/18 5:27 P

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Hi All. I have Rheumatoid Arthritis. I take an injection weekly and a medication daily for this alone. I went to they Dr. today and I've been in a flare. She told me to take prednisone 2x a day for 2 weeks then 1x a day for 2 weeks.
I have a love hate relationship with this drug. It does make me feel better when I take it but it also causes weight gain and causes my blood sugar to rise. I just started taking insulin a month ago for my diabetes. It also makes me want to eat everything in sight. smh.
I'm within 3 lbs of onederland. I've been steadily going down. Slowly but still down. I really don't want to get my blood sugar out of whack or to put back on the weight that I've worked so hard to get rid of.
Can anyone give me any ideas to help me through this situation? I know to make healthy decisions but still when you eat all the time that is not good. Plus, it just causes you to retain sodium.
Help,....Please

Lisa




Even if you lose 1/2 a pound a week you'll still lose 26 lbs by this time next year. JUST KEEP GOING


~*~You Will Never Have This Day Again So Make It Count!~*~






 Pounds lost: 36.6 
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16.75
33.5
50.25
67
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