Pred affects glucose...what about thyroid?

[Wallysma]

i have been struggling to reduce my pred dose. Since I went from 22.5 to 20 every day has been different. The first day was ok. No real change. Then my pain was high....I was shakey, very tired/exhausted,efeated for the rest. Today my pain is a smidge better..but I am so tired. I have that out of gas feeling. So it occurred to me maybe others have Hashimoto's and had their levels tank because of pred. So I thought I would see what others have gone through. I already take two different doses of synthroid and I take T3. It usually stabilizes easily and stays at the level for quite a long time....but obviously things throw it out. With PMR it's hard to know what is what...but I hate feeling so tired.

thanks everyone. Be well.



[piglette]

You can get steroid withdrawal when you reduce. It starts quite quickly and can last a few days, then it goes away. Sadly fatigue is something associated with auto immune diseases.

[Daffodilia]

I had Hashimotos before PMR and take levothyroxine - don’t think PMR affected it - GP said two or more auto immune conditions often occur at same time

[Wallysma in reply to Daffodilia]

Thanks Daffodilia...yeah I am lucky I have 5 autoimmune gigs going...lordy. I was thinking more about the prednisone making a difference. To be honest I am too tired to deal with a doc appt...trip to labs...so I thought I would start here to see what folks here have gone through....which sometimes is better than the docs....lol. Thank you for the reply. Be well.

[PMRpro Ambassador]

Pred can affect TSH so that it looks OK when tested but actually you need a bit more thyroid medication. Convincing doctors is difficult though. A few doctors say they get get better management of PMR when they treat some patients as hypothyroid.

[Wallysma in reply to PMRpro]

wow...ok. maybe I will push myself to go to my PC....he would top off my meds if I felt it might help after blood work of course. If it read ok but this feeling continues I think he would help. I will track it and see. Piglette mentioned the w/d of dropping the pred dose...which you had told me about...so it could be that...it's just been too many days I think. It takes a long time to sort out what things are and what feels like what.when you have so many competing conditions going on.

Thanks again. Be well.