Type 2 Diabetes?

[merril]

Recently diagnosed with Type 2 Diabetes. Has anyone any advice on how to fit this in with PMR, Pacemaker and Kidney stone ? Spinal epidural last month failed to give any pain relief, and I am trying to manage with Diazepam.

[Koalajane]

I am a type 2 diabetic in remission. I changed my diet to a low carb one and walk at least 3 times a day doing at least 13,000 steps each day. I was put on gliclazide because prednisolone spokes your blood sugars and 6 months later came off it as my hba1c was so low the doctor thought I might go too low. My hba1c is now 37. Good luck

[merril in reply to Koalajane]

Thanks for that, it has given me food for thought,, and I will make an appointment with my rheumie for his opinion asap. I am on a low dose of pred 3mgs, but was having new symptoms of burning legs, mouth, and tongue, and night sweats. The cardiologist who I see privately was concerned about my kidney stone, so now I have a phone discussion with the urologist in January. Have yet to speak or see my GP.

[PMRpro Ambassador]

What was the spinal for? Why aren't they dealing with the kidney stone?

[merril in reply to PMRpro]

The epidural was my third in eight years and I am unable to walk outside without help. I have impingements, facet disease and nerve compression and off and on morphine three times since first lockdown. I was so disappointed the epidural had no effect this time. The decision to do nothing about the stone was made by the urologist and the cardiologist and agreed to by me was because of my pacemaker and medical assessment (severely frail), but with the proviso this will change if. there was an emergency. By the way I don't think I am that frail but no point in arguing with the GP!!!

[PMRpro Ambassador in reply to merril]

They have a scoring system to assess frailty - even if we don't think we are!! I don't think I'd argue the point with the GP - but I would ask the cardiologist to explain their thinking. It does make things easier to bear, even if only a bit. I suspect the Frailty Index is one of the tick box things GPs can "earn" for their practice by completing it.

england.nhs.uk/ourwork/clin...

But there are papers suggesting that it is valuable in assessing risk in specific instances -and your urologist and cardiologist will have a view on that.

I've never had one except for surgery but I do know they sometimes don't "take" - I'm so sorry you are experiencing an example.

[merril in reply to PMRpro]

You are right of course, and I knew GPs were paid for this assessment but would not have known the result had I not asked for a copy of my notes and seen the result there. I did bring it up with my GP, but I couldn't make much sense of it.😃

[Pixix]

I also had type 2 diabetes…due to steroids. I went onto keto diet, then 5:2 diet & reversed it. If you search on FAQ you should find lots about both steroid induced diabetes, if that is what you have, & about low carb diets. The subjects arise frequently & there are many good posts, & comments to read! Good luck!

[merril in reply to Pixix]

Thank you, I will do that.