One thing that helped (helps) me deal with the blood sugar swings caused by the prednisone (particularly at doses over 10 mg/day) is taking chromium picolinate & biotin - either daily or a couple of times a week, depending on pred. dosage). It seems that the pred. depletes the chromium from your system, and insulin needs chromium to do its job of regulating blood sugar. At 15 mg/day I had vision problems related to the blood sugar spikes - they cleared up right away with the chromium picolinate & biotin.
Welcome to my world Wildflower...lol...I'm so happy you mentioned dropping things, cuz I do it ALL the time, and never did before the "nasty" PMR came into my life totally uninvited~
I didn't know if it was part of the PMR profile or just me not being careful enough. Hang in there ...I'm convinced that life will get better.(Hope it's not just wishful thinking, I do a lot of that.
Thanks Magy, I read how you are in the process of lowering you prednisone strength. I know I should be taking more but I have been on it for four years. Do you or does anyone know if the prednisone acutally shortens the life span of PMR, or is it just symptom relief? And does pred. prevent a possibility of GCA which is linked with PMR? I find myself eating anything that's not tied down--is that the pred.? Do I ask too many questions :)?? I agree, it will get better, and I have finally realized that it's okay to lie down and snuggle up with my soft blanky when these muscles aren't doing what they're supposed to do. I an blessed by coming upon this forum. Wildflower
About the chromium: google "chromium picolinate & corticosteroid induced diabetes" for more info. Important to get the picolinate form and take it with biotin (600 mcg & 250 mcg respectively is what I take) as from what I understand plain chromium is not absorbed properly. Chromium picolinate is at health food stores. And yes, the irregular blood sugar would cause sugar cravings! Like the "morning after" when you've had too much wine! I've been taking the chromium picolinate since a few weeks into my prednisone usage, so I can't compare, but I haven't put on any weight, so it must be a help!
As I understand it, prednisone just reduces the inflammation of PMR. However, I've also heard that the inflammation can do permanent damage to your joints, not to mention the inactivity untreated pain would result in, which would cause you to lose muscle tone and muscle itself, and that is sometimes almost impossible to get back, especially for older folks.
Ticketyboo, I am so happy you wrote--I intend to buy both the chromium picolinate and biotin tomorrow. It would be wonderful to rid myself of these sugar cravings.
I need to rethink my prednisone dose. I had the belief that the less I took, the better--even if it meant I couldn't move as well as I would if I took more. I am 59 and plan to be around a long time, so I have this conflict about dose vs. the damage that long-term prednisone can cause. I thank you so much for this info, and I am looking forward to taking these supplements!
I can relate to the conflict. I don't think anyone should get complacent and just up the dose, but you do have to give weight to the benefits of pred. against the potential side effects. As always, it's best to discuss with your doctor. I know that prednisone does more damage to some than to others (e.g. cataracts, glaucoma, osteoporosis, diabetes), so I get annual eye exams by an ophthalmologist and had my doctor check my bone density after I'd been on it over a year.
My GP said his partner's wife has been on 2 mg of prednisone for (I think) 10 years and doesn't expect to ever get off of it. I'm hoping that my PMR is now gone and it's just the prednisone reduction I have to deal with (knock wood!). It's a strange condition. I thought I was over it once before, but then it resurfaced in other parts of my body (hands & wrists) and I had to go back to 15 mg of prednisone for a couple of weeks last March, and have reduced as fast as I dared until now I'm at 4 mg.
Another thought: I experienced a real reduction in PMR symptoms just after I started taking extra Vitamin C last fall - up to 2000 mg per day i.e. 500 mg 3x per day plus whatever I get in a multivite and an antiinflammatory powder I also take (Recovery - see
www.recoverymedicine.com - I get it at Costco). Worth a try if you can tolerate it - some forms are easier on the digestive system than others, but I have no problems with it at all.
Other people have had success with an anti-inflammatory diet, but I've pretty much maintained my regular eating habits throughout. Always hard to know if what you take makes a big difference, or if you would have felt better anyway without it!
Swede: Thank you for reminding me that I use to alternate dose reductions!! I forgot and have been having a really hard time with this 7.5 mg and was thinking of going back up. I do only reduce by 1/2 mg at a time. Now I will also alternate again.
I also want to talk about sugar... the cravings are connected to bothe the pred and the fact that adrenals are so connected to glucose and sugar on your system.
Consider sugar POISON to your system while on the pred. I have binges where I can't stop, but once I do stop, if I stay off it there are 2 benefits - I lose weight but mostly I feel MUCH better. My acupuncturist can tell the minute I walk in if I have been eating sugar.
If you can't stop the binging, try acupuncture from someone who deals with food sensitivitiesRuth, thanks again for your good advice. I feel better knowing someone married to a doctor has been on prednisone that long! Thanks to you and this forum, I realize it would be a mistake to stop the prednisone at this stage. And yes, it is a very strange disease. I had no clue what was wrong with me--almost overnight I could not get out of bed, comb my hair, you know the rest. I told family and friends that I had PMR 4 years ago, but I don't talk about it with them. This is why I am so happy to meet all of you! And pgr555, I am sure a sugar-free diet would be beneficial. Doing it is another thing--but I will certainly cut down. I went to an acupuncturist when my symptoms began. It did not help the PMR but I am wiling to go for the sugar craving. Thank you!
Wildflower
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