Guest guest Posted March 16, 2003 Report Share Posted March 16, 2003 terri....... I know what you mean...... I don't know how te weather is in St. Louis but here we had 65 degrees yesterday and above 70 today and it makes you feel young again.... I thought scraping your knees was the point of roller skating? I got it backwards... I find my self too old to grow up. I hope you have every week as good or better from now on. : ) love jerry Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2005 Report Share Posted June 5, 2005 Hi Lawrence, I'm sorry you have gone through so much! I get the recurring pa relief vs. anemia. I know it is important to watch for bleeds. oddly, since starting enbrel my hemoglobin has been higher. it does make me wonder if they are correct for me and I get the anemia from the autoimmune diseases and not just a bleed. I am still exhausted with a higher red cell blood count though.....go figure.. hang in, marti > So, it looks like my week from hell is finally over. Basically, the search for some level of relief has taken me 400 miles and much lost time, but I seem to have found a little. Here's the story: > > On March 4th I had a septoplasty done to aid in my sleep and theoretically cause more healthful sleep. In order to prevent the risk of infection, I went off my Humira 5 weeks in advance of the surgery. I went back on it 2 weeks after the surgery. On March17th I had an epidural done to ease the discomfort of some spinal stenosis that had developed (Also related to my PA). > > As a result of going of the Humira for the surgery, I developed some increased PA symptomology and lots more pain. But I resigned myself to a level of patience, allowing the Humira to kick back in. At my next rheumetologist appointment, I had some standard issue lab- work done. I was called 2 days later and told my hemoglobin was low, and actually, they had been watching it because it had been trending downward for a few months. > > So off to the family practitioner.... again.... > > Blood work with his office determined my hemoglobin was indeed low and my iron very very low. So time to see the gastroenteritis... Oh, and by the way- stop taking your Voltarin, it's probably giving you an ulcer. > > A colonoscopy and endoscopy later, no idea where I'm losing blood. More tests on the stomach to come.... Meantime, pain becoming debilitating. So now, its time to go back to my rheumetologist... That got me nowhere, so off to the Medical University of SC- down in ton, some 100 miles from Columbia. 4:45 appointment, and I hit traffic on I-26, so at 4:00 I call, letting them know I may a bit late. 5:15 I arrive, and the rheumetology clinic is closed- guess I should've gotten on the road earlier. Reschedule for a week later. > > Back to ton, still in a lot of pain- hoping to get some relief. After a few consultations, we decide the only option left is to increase the Humira dosing to every week. No new meds, no new idea, and no pain meds. " If we get the PA under control, the pain will be alleviated. " Is the ongoing theme. I certainly agree with that notion, except we've been trying to get the PA under control again for months now... > > This past Thurs, the pain became too much- so off to the doc-in-a- box I run to get something, anything to ease the pain. A little Tylox helps me get through the day- until I can get to the doctor that did my epidural two months ago for a pain management consultation. Finally, on Friday, she writes me a script for Duragesic (fentanyl)... Saturday morning I apply my first patch- by Saturday night, finally some comfort! Woooeeee! > > > > --------------------------------- > Discover > Have fun online with music videos, cool games, IM & more. Check it out! > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2005 Report Share Posted June 14, 2005 In a message dated 6/5/2005 4:04:37 P.M. Eastern Standard Time, mlw402@... writes: I get the recurring pa relief vs. anemia. I know it is important to watch for bleeds. oddly, since starting enbrel my hemoglobin has been higher. it does make me wonder if they are correct for me and I get the anemia from the autoimmune diseases and not just a bleed sorry I am responding so late, but you might want to be checked for pernicious anemia...its an autoimmune disease that makes the lining of your stomach unable to produce the chemical needed to absorb B12. Without B12, you can't absorb iron. It's easily treated with B12 injections. Hope that helps. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 16, 2005 Report Share Posted June 16, 2005 hiya i have p/a and also was diagnosed a few years ago with pernicious anemia aparantly they can both be connected i get monthly injections of b12 which helps kell x __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 30, 2006 Report Share Posted July 30, 2006 Great . Just keep trying. It is hard but you can do it. I'm glad you are back to posting again. Remember to take it one day at a time. Worry about tomorrow when tomorrow gets here. I also bought some blueberries, some low carb spaghetti and low carb spaghetti sauce. Oh yeah and some no sugar added peanut butter. So I am trying. I know I need to get back into exercising again, but I am just going to take one minute at a time right now. I'm sooooo stressed right now. Just have to keep taking deep breaths. I'm trying really hard to hold it together emotionally, but it is sooooooo hard. Well, just wanted to let you all know what is going on with me. from MO. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Breathe . It will be ok. Tackle one thing at a time. Can you walk to anything? I know it maybe hard. BUT reasearch and see if you can walk to a bus line of some sort. I miss living in the city area. Being rural you cant live without a car. How about walking the track to get some stress out of you? NH... Mom to Abby Liz 10/94 Anne 7/99 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Hi Ray its good to here from you keep taking things easy for a few more weeks yet I only started driving last week adn that was 5 weeks after my surgery. As for diet I have a diet sheet that I will e-mail that was given to me by Carolyn from a hospital in the US (look out for an e-mail fron .brown150@ntlworld,com) People hear have found it a great help. Pippa x (England) > > Hi to all fellow achalasians and their friends and families. It is now > nine days since my surgery.So far everything seems to be ok, but I > should have listened to ,one my wife and others here about taking > things easy. I suppose being a typical male ,I thought that I was ten > feet tall and indestructable.Two days out of hospital and of I go for a > drive and a walk......wrong thing to do. I have been so tired > since ,thus being no feed back from me on here. > Eating seems to be fine, or I should say drink of soups and jelly is > fine.Haven't yet ventured on to anything more solid. Any advice as to > when it maybe ok to say try a soft pasta or something similar.Should I > avaoid dairy products? I see some have been instructed to take various > medications post surgery, I have been fortunate to have not needed > any.Is this normal? > I once again would like to thank the people here that have helped me so > far. > Thanks and regards Ray > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Ray, U can take luke warm milk , curd./ Take soft solids for 10 days after surgery.. Then u can start soft bread n other more Foods...after 3 weeks ,u can take normal foods..this is same as advised to Bimal after surgery on 26th.. Plz check with your dr.as most have been advised for some medicines for 5 to 10 days... Mukesh What a week Hi to all fellow achalasians and their friends and families. It is now nine days since my surgery.So far everything seems to be ok, but I should have listened to ,one my wife and others here about taking things easy. I suppose being a typical male ,I thought that I was ten feet tall and indestructable.Two days out of hospital and of I go for a drive and a walk......wrong thing to do. I have been so tired since ,thus being no feed back from me on here. Eating seems to be fine, or I should say drink of soups and jelly is fine.Haven't yet ventured on to anything more solid. Any advice as to when it maybe ok to say try a soft pasta or something similar.Should I avaoid dairy products? I see some have been instructed to take various medications post surgery, I have been fortunate to have not needed any.Is this normal? I once again would like to thank the people here that have helped me so far. Thanks and regards Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Ray-Glad your wanting to go and out venture but do take it slow.As far as your diet goes,didnt your Dr give you some type of guide lineto follow? I cAN tell you that is on soft mushy stuff now about 9 days later. He can have potaoes,gravy,jellos,puddings,soups,pumpkin pie,ice cream,oatmeal,even french fries,mac n cheese etc... Anything soft and mushy like.Dr Rice said no bread,meat,caffeine,rice for a while. Just try a lil a the time and see how it goes.As of now can eat all those things and it seems to be going down wellwith out pushing it down with force.In the begining he wanted to and DR Rice said he needed to really focus on his swallowing and kinda learn how to all over.I think things depend on the person as what you can tolerate.They started on jellos and puddings at the hospital,did they not do that for you?Just start out very slowly. i wish you all the best in your new swallowing!! Take care and take it slow! You will be up and at em in no time-just rest for now. Tonia -- In achalasia , " rayzor581 " <rayzor97@...> wrote: > > Hi to all fellow achalasians and their friends and families. It is now > nine days since my surgery.So far everything seems to be ok, but I > should have listened to ,one my wife and others here about taking > things easy. I suppose being a typical male ,I thought that I was ten > feet tall and indestructable.Two days out of hospital and of I go for a > drive and a walk......wrong thing to do. I have been so tired > since ,thus being no feed back from me on here. > Eating seems to be fine, or I should say drink of soups and jelly is > fine.Haven't yet ventured on to anything more solid. Any advice as to > when it maybe ok to say try a soft pasta or something similar.Should I > avaoid dairy products? I see some have been instructed to take various > medications post surgery, I have been fortunate to have not needed > any.Is this normal? > I once again would like to thank the people here that have helped me so > far. > Thanks and regards Ray > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Hi Tonia, yes my Dr. did give me advice on what to eat and not to eat. I was wanting to get some advice from the people who have been there and done that ,that know what we are going through and have experienced what foods are tollerable. Thankyou for your advice,it is much appreciated. Thanks and Regards Ray. >From: " toniasdogsandi " <toniasdogsandi@...> >Reply-achalasia >achalasia >Subject: Re: What a week >Date: Sun, 05 Nov 2006 13:41:00 -0000 > >Ray-Glad your wanting to go and out venture but do take it slow.As >far as your diet goes,didnt your Dr give you some type of guide >lineto follow? I cAN tell you that is on soft mushy stuff now >about 9 days later. He can have >potaoes,gravy,jellos,puddings,soups,pumpkin pie,ice >cream,oatmeal,even french fries,mac n cheese etc... Anything soft >and mushy like.Dr Rice said no bread,meat,caffeine,rice for a while. >Just try a lil a the time and see how it goes.As of now can >eat all those things and it seems to be going down wellwith out >pushing it down with force.In the begining he wanted to and DR Rice >said he needed to really focus on his swallowing and kinda learn how >to all over.I think things depend on the person as what you can >tolerate.They started on jellos and puddings at the >hospital,did they not do that for you?Just start out very slowly. i >wish you all the best in your new swallowing!! Take care and take it >slow! You will be up and at em in no time-just rest for now. > >Tonia > > >-- In achalasia , " rayzor581 " <rayzor97@...> wrote: > > > > Hi to all fellow achalasians and their friends and families. It is >now > > nine days since my surgery.So far everything seems to be ok, but I > > should have listened to ,one my wife and others here about taking > > things easy. I suppose being a typical male ,I thought that I was >ten > > feet tall and indestructable.Two days out of hospital and of I go >for a > > drive and a walk......wrong thing to do. I have been so tired > > since ,thus being no feed back from me on here. > > Eating seems to be fine, or I should say drink of soups and jelly >is > > fine.Haven't yet ventured on to anything more solid. Any advice as >to > > when it maybe ok to say try a soft pasta or something >similar.Should I > > avaoid dairy products? I see some have been instructed to take >various > > medications post surgery, I have been fortunate to have not needed > > any.Is this normal? > > I once again would like to thank the people here that have helped >me so > > far. > > Thanks and regards Ray > > > > > _________________________________________________________________ Advertisement: Meet Sexy Singles Today @ Lavalife - Click here http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Flavalife9%2Eninemsn%2Ecom%2Eau%2\ Fclickthru%2Fclickthru%2Eact%3Fid%3Dninemsn%26context%3Dan99%26locale%3Den%5FAU%\ 26a%3D23769 & _t=754951090 & _r=endtext_lavalife_nov_meet & _m=EXT Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2006 Report Share Posted November 5, 2006 Dear Ray, I'm so glad you doing ok. Just take it it one day at a time as I am and everything will be Ok. Thanks Manny on Long Island > > > > > > Hi to all fellow achalasians and their friends and families. It is > >now > > > nine days since my surgery.So far everything seems to be ok, but I > > > should have listened to ,one my wife and others here about taking > > > things easy. I suppose being a typical male ,I thought that I was > >ten > > > feet tall and indestructable.Two days out of hospital and of I go > >for a > > > drive and a walk......wrong thing to do. I have been so tired > > > since ,thus being no feed back from me on here. > > > Eating seems to be fine, or I should say drink of soups and jelly > >is > > > fine.Haven't yet ventured on to anything more solid. Any advice as > >to > > > when it maybe ok to say try a soft pasta or something > >similar.Should I > > > avaoid dairy products? I see some have been instructed to take > >various > > > medications post surgery, I have been fortunate to have not needed > > > any.Is this normal? > > > I once again would like to thank the people here that have helped > >me so > > > far. > > > Thanks and regards Ray > > > > > > > > > > > _________________________________________________________________ > Advertisement: Meet Sexy Singles Today @ Lavalife - Click here > http://a.ninemsn.com.au/b.aspx?URL=http%3A%2F%2Flavalife9%2Eninemsn% 2Ecom%2Eau%2Fclickthru%2Fclickthru%2Eact%3Fid%3Dninemsn%26context% 3Dan99%26locale%3Den%5FAU%26a% 3D23769 & _t=754951090 & _r=endtext_lavalife_nov_meet & _m=EXT > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 5, 2009 Report Share Posted December 5, 2009 That’s great with the hits you’re getting, it just shows with over 30,000 views, people are now very much researching into LDN so please folks do help us help you by filling in this database if you haven’t already www.ldndatabase.com It doesn’t matter where you’re from, it’s the information in it that is of vital international importance. Thanks again! Jayne Jayne Crocker Chairperson www.LDNNow.com tel: +44 (0) 7877 492 669 Dr Steele, ITV's This Morning supporting LDN From: LDN_4_Pets [mailto:LDN_4_Pets ] On Behalf Of Donnelly Sent: 05 December 2009 03:36 low dose naltrexone Subject: [LDN_4_Pets] What a week Hi All What a week, the UK petition the ish petition and Jacinta's news WOW The database has had 30,562 visitors and still only 372 entries of the 100,000 people on LDN. The 372 is great and 372 thank you's to you all. Now its nearly 1 year since we set this database up at www.ldndatabase.com so lets start getting it filled up. If you are new to this group please take the 2 minutes to put your details in. If you are a member of any other forums or LDN groups can you please ask people there to add their name to the database. This will give so many people in the future so much knowledge about how we are getting on with LDN and help save lives and the quality of life for others. Next week I will be sending everybody an email with a link to update their details, so if you would like to see anymore questions added or changed please let me know before I send the links. Here's to a great Christmas www.ldndatabase.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2010 Report Share Posted May 30, 2010 Mike Were you aware of your diabetes before this admission? If so, were you monitoring your levels and taking insulins? I have been on steroids for 4 years and am on a very slow taper--1 mg. per month. My blood sugar is all over the place and as a prednisone diabetic, I allow a few units for prednisone every time I use my short acting insulin. For some reason, long acting insulin makes me feel awful. I have an excellent endo at Mayo Rochester who helped me to straighten all of this out. The long term goal for me is to get to 5mg and return there so they can help me to get off of prednisone. You need to monitor your sugars and keep track of them. I take mine before I eat and then two hours later. Yes, 8x per day at least. I record what I eat and also my activity level and the time I take the prednisone. In my case, I find a 70 bump in my level from the prednisone alone and this is best noted at lunch. It is tricky and I have to be careful. I can not take pill forms of insulin and often I feel sort of like I am in lactic acidosis which is sometimes preventable with being totally hydrated but then prednisone has it's hand in the sodium/potassium/hydration issue. Do you see a good endocrinologist who is familiar with long term prednisone use and it's attendant consequences such as diabetes and Cushings? If you don't have one closeby, try to see a good one at the closest large medical center. Ashleigh ________________________________ From: Mikey <mike.dmcbride@...> Sent: Sun, May 30, 2010 8:22:15 AM Subject: [ ] What a week Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. 2 questions: 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? Thanks in advance. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2010 Report Share Posted May 30, 2010 Hi Mike. Sorry you are having all these problems. I can't answer the xolair question so I will leave that to someone else. I was just diag. last Oct. and only been on prednisone once since I found out I am diabetic(type 2 not insulin, just oral pill) My sugar levels did go up, althought not as much as yours...I was only on the pred for the 10 days. my dr. didnt do anything different while I was on the pred. but I belong to a diab. group and they suggested I talk to him and have my diabetes meds (januvia) adjusted while on the pred. at this point I had two days left so I didnt bother to call. I just cut my carbs even lower and it help some. Are you on meds or insulin? Ask your dr. if you should adjust your meds while on prednisone. The diabetes group I belong to is very helpful if you are incline to join another group. I am beginning to think I have more groups and friends in them then I do in my actual life,lol. anyway let me know if you want their name, I think it is just diabetes at though. good luck and let me know how you are doing. For now I am keeping my BG levels down some by oral meds, watching what and how much I eat, and exercise although I need to do this one more. take care. jean On Sun, May 30, 2010 at 9:22 AM, Mikey <mike.dmcbride@...> wrote: > > > Saturday night one week ago I went to the ER as my nebs were not cutting > into an attack. Early Sunday the doc told me he recommended inpatient...my > first admit for asthma. As they were doing some blood work the doc came in > and asked how long I'd been diabetic. SURPRISE! Between the untreatted > disease and the steroids my sugars peaked at 550. Now down to the mid/upper > 100's. At a follow up with my doc on Friday he asked if the pulmo who gives > me the Xolair has any other tricks up his sleeve. He questions the efficacy > of the Xolair at this point. I went more than 6 months almost symptom free. > Now i am back in the ER about every 3 months or so with symptoms increasing. > > 2 questions: > > 1. Can/Does Xolair stop being as effective and need an increase in the > amount needed? I am wondering if I can develop a tolerance to the med. > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it > does to blood sugars? > > Thanks in advance. > > Mike > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2010 Report Share Posted May 30, 2010 Thanks Ashleigh, I have a long family history of diabetes but i had nver been diagnosed with it. It was expected but I did not know it had arrived. I am on 20mg Pred for 2 more days and then 10 mg for 4 days. We'll see how long I can go without it. Usually about 6weeks. I measure my sugar no less than 5x per day. i am currently on a sliding scale dose of short acting insulin and 30u of a long lasting. I actually feel better than I have in a very long time. My pulmonologist and internist have worked togther in the past and should play nice with each other this time as well. There is not an endrocrinologist in the area where I live. I will need to look in Anchorage. Thanks!  Mike McBride O God do not leave me. I have done nothing good in your sight, but according to your goodness, let me now make a beginning of good. - Abba Arsenius ________________________________ From: Leigh McCall-Alton <mccallalton@...> Sent: Sun, May 30, 2010 7:13:29 AM Subject: Re: [ ] What a week  Mike Were you aware of your diabetes before this admission? If so, were you monitoring your levels and taking insulins? I have been on steroids for 4 years and am on a very slow taper--1 mg. per month. My blood sugar is all over the place and as a prednisone diabetic, I allow a few units for prednisone every time I use my short acting insulin. For some reason, long acting insulin makes me feel awful. I have an excellent endo at Mayo Rochester who helped me to straighten all of this out. The long term goal for me is to get to 5mg and return there so they can help me to get off of prednisone. You need to monitor your sugars and keep track of them. I take mine before I eat and then two hours later. Yes, 8x per day at least. I record what I eat and also my activity level and the time I take the prednisone. In my case, I find a 70 bump in my level from the prednisone alone and this is best noted at lunch. It is tricky and I have to be careful. I can not take pill forms of insulin and often I feel sort of like I am in lactic acidosis which is sometimes preventable with being totally hydrated but then prednisone has it's hand in the sodium/potassium/hydration issue. Do you see a good endocrinologist who is familiar with long term prednisone use and it's attendant consequences such as diabetes and Cushings? If you don't have one closeby, try to see a good one at the closest large medical center. Ashleigh ________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2010 Report Share Posted May 31, 2010 Hi Mike, Sorry to hear about an ER visit. I'm currently admitted for 6th round of pnuemonia since March, and so I'm in for testing and IV antibiotics. I've heard alot about the effects of prednisone on blood sugar, but I'm surprised you had that bad of a flare up while on the Xolair. Curious to see what Doug says. I hope you feel better soon, hear you having great weather! Darcy > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > 2 questions: > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > Thanks in advance. > > Mike > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 31, 2010 Report Share Posted May 31, 2010 > > Thanks Ashleigh, > > I have a long family history of diabetes but i had nver been diagnosed with it. It was expected but I did not know it had arrived. I am on 20mg Pred for 2 more days and then 10 mg for 4 days. We'll see how long I can go without it. Usually about 6weeks. > > I measure my sugar no less than 5x per day. i am currently on a sliding scale dose of short acting insulin and 30u of a long lasting. I actually feel better than I have in a very long time. My pulmonologist and internist have worked togther in the past and should play nice with each other this time as well. There is not an endrocrinologist in the area where I live. I will need to look in Anchorage. Thanks! > Mike McBride > Mike, Many years on evil candy were responsible for my diabetes. No one in my family has ever been diabetic that I know of. My dad must have had a cast iron pancreas because he was addicted to sugar. It was his staple food and he never was diabetic. No one in my family ever had to take as much steroids as I have. Now, 5 years since Xolair took away my need for evil candy, I am STILL diabetic. I have it under control with diet and pill. I WAS walking 30 minutes every day till I developed Diabetic Neuropathy in my feet EVEN with a 6.4 A1C. grrrrr! I asked my doctor why I had foot pain even though my Diabetes was under control. She said: " Yes your sugars are good however, you are STILL a diabetic. " I am taking 150 mg of Lyrica and Metanx twice daily. It helps, but not as good as I would like. Not only was evil candy responsible for giving me diabetes, I had pre mature cataracts, (My eye adventure stories are long and this is not an eye support group) and spinal stenosis in my neck so bad that I have had 2 fusion surgeries, one with a metal plate. Yes, I am off steroids thanks to Xolair but irreversible damage has been done. Thanks for letting me vent Doug Group founder Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 1, 2010 Report Share Posted June 1, 2010 1. I had a similar situation this year and found out what I was dealing with was not asthma but COPD. You need a full workup from your Pulmo. In my case, I knew I had a great deal of scarring from having had asthma and many bouts of pneumonia back in the dark ages. What was new was that I now have Dynamic Airway Collapse because the repeated long-term use of corticosteroids has softened the cartilage in my esophagus. So no more evil candy for me. 2. I've had diabetes for many years directly due to evil candy. I had a consult with an endocrinologist (before all this), and we made a contingency plan to deal with evil candy episodes. I highly recommend that you see one just to get you started on a good program. My diabetes went unchecked for a long time because they kept saying " it's just the prednisone " . My blood sugar was in the 800's and I risked permanent kidney damage. There are two different types of insulin they can treat you with nowadays. Fast-acting insulin to respond to your immediate intake of sugar, and long-acting insulin to regulate your daily intake. Along with those, there are a vast number of pills they can try before getting to the insulin stage. Doctors used to think that once you were on insulin, you had to stay on it forever. In fact, they can give you short bursts for situations like prednisone or gestational diabetes, and you can stop it when you don't need it anymore. At any rate, it's worth consulting an endocrinologist. Best Wishes, --Kitty > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > 2 questions: > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > Thanks in advance. > > Mike > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 2, 2010 Report Share Posted June 2, 2010 it might be a good idea to have yourself checked for aspiration, regurgitaion and reflux issues. ________________________________ From: Darcy <darcy.buckner@...> Sent: Sun, May 30, 2010 8:26:52 PM Subject: [ ] Re: What a week Hi Mike, Sorry to hear about an ER visit. I'm currently admitted for 6th round of pnuemonia since March, and so I'm in for testing and IV antibiotics. I've heard alot about the effects of prednisone on blood sugar, but I'm surprised you had that bad of a flare up while on the Xolair. Curious to see what Doug says. I hope you feel better soon, hear you having great weather! Darcy > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > 2 questions: > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > Thanks in advance. > > Mike > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 Out of the hospital and tests are back...pneumonia due to streptococcal bacteria. Every thing else normal except the ige which was 600. I thought it was higher, but apparently last time dr tested it was 200. So we sent off the xolair paperwork today for a dose of 375. (3 shots). Here's hoping my insurance co approves. On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. Its a struggle to exercise and eat right when I don't feel well and/or limited in activity level. I can certainly both sides of the discussion going on. Bottom line for me is that my lungs are a muscle need exercise as much as possible. > > > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > > > 2 questions: > > > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > > > Thanks in advance. > > > > Mike > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 Darcy, To your email: " On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. " " Bottom line for me is that my lungs are a muscle need exercise as much as possible. " This is a bizarre recommendation. it doesn't work this way, and your lungs are not a drain pipe. Excerise can induce bronchoconstriction. There are muscles surrounding the airways of your lungs, yes, but they are a different type of muscle, and may respond unfavorably to exercise, especially strenuous exercise. They may constrict in reaction to exercise, and put you at major risk for an exacerbation. I would rethink this, and if at the very least you choose to exercise in any capacity, you pretreat with your rescue inhaler (albuterol, pirbuterol, etc.) 15 min ahead of time, or use your Advair or Symbicort about an hour ahead of time. Glenn ________________________________ From: Darcy <darcy.buckner@...> Sent: Wed, June 2, 2010 10:42:10 PM Subject: [ ] Re: What a week  Out of the hospital and tests are back...pneumonia due to streptococcal bacteria. Every thing else normal except the ige which was 600. I thought it was higher, but apparently last time dr tested it was 200. So we sent off the xolair paperwork today for a dose of 375. (3 shots). Here's hoping my insurance co approves. On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. Its a struggle to exercise and eat right when I don't feel well and/or limited in activity level. I can certainly both sides of the discussion going on. Bottom line for me is that my lungs are a muscle need exercise as much as possible. > > > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > > > 2 questions: > > > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > > > Thanks in advance. > > > > Mike > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 Yikes, strenuous exercise for me = asthma attack, with or without pretreatment, although with pretreatment it's not as severe and is easier to get calmed down after the fact than without. I'd be VERY careful. > ________________________________ > From: Darcy <darcy.buckner@...> > > Sent: Wed, June 2, 2010 10:42:10 PM > Subject: [ ] Re: What a week > >  > Out of the hospital and tests are back...pneumonia due to streptococcal bacteria. Every thing else normal except the ige which was 600. I thought it was higher, but apparently last time dr tested it was 200. So we sent off the xolair paperwork today for a dose of 375. (3 shots). Here's hoping my insurance co approves. > > On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. Its a struggle to exercise and eat right when I don't feel well and/or limited in activity level. I can certainly both sides of the discussion going on. Bottom line for me is that my lungs are a muscle need exercise as much as possible. > > > > > > > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > > > > > 2 questions: > > > > > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > > > > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > > > > > Thanks in advance. > > > > > > Mike > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 3, 2010 Report Share Posted June 3, 2010 I think its dangerous to tell someone to ignore their doctors instructions. Yes, there are always risks, but this physician knows her and is making recovery recommendations. In addition, I didn't think this group was to make any recommendations about medication usage. You don't know this person, presumably not a doctor and contradicting her personal physician...very wrong. On Thu Jun 3rd, 2010 11:54 AM EDT GW wrote: >Darcy, >To your email: > > " On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. " > " Bottom line for me is that my lungs are a muscle need exercise as much as possible. " > >This is a bizarre recommendation. it doesn't work this way, and your lungs are not a drain pipe. Excerise can induce bronchoconstriction. There are muscles surrounding the airways of your lungs, yes, but they are a different type of muscle, and may respond unfavorably to exercise, especially strenuous exercise. They may constrict in reaction to exercise, and put you at major risk for an exacerbation. I would rethink this, and if at the very least you choose to exercise in any capacity, you pretreat with your rescue inhaler (albuterol, pirbuterol, etc.) 15 min ahead of time, or use your Advair or Symbicort about an hour ahead of time. > >Glenn > > > > >________________________________ >From: Darcy <darcy.buckner@...> > >Sent: Wed, June 2, 2010 10:42:10 PM >Subject: [ ] Re: What a week > > >Out of the hospital and tests are back...pneumonia due to streptococcal bacteria. Every thing else normal except the ige which was 600. I thought it was higher, but apparently last time dr tested it was 200. So we sent off the xolair paperwork today for a dose of 375. (3 shots). Here's hoping my insurance co approves. > >On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. Its a struggle to exercise and eat right when I don't feel well and/or limited in activity level. I can certainly both sides of the discussion going on. Bottom line for me is that my lungs are a muscle need exercise as much as possible. > > >> > >> > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. >> > >> > 2 questions: >> > >> > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. >> > >> > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? >> > >> > Thanks in advance. >> > >> > Mike >> > >> >> >> >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 I cannot do strenuous exercises either...but I can do some exercises. Some days I can walk further than others and I do try to do stretches about three or four times a week. My pulmo prescribed pulmo therapy for me about four years ago and I have to admit I have not been faithful to do the exercises they prescribed and started me on....I do the breathing exercises faithfully, though. From: brown_with_blue <rrgrimes_u3@...> Subject: [ ] Re: What a week Date: Thursday, June 3, 2010, 1:56 PM  Yikes, strenuous exercise for me = asthma attack, with or without pretreatment, although with pretreatment it's not as severe and is easier to get calmed down after the fact than without. I'd be VERY careful. > ________________________________ > From: Darcy <darcy.buckner@...> > > Sent: Wed, June 2, 2010 10:42:10 PM > Subject: [ ] Re: What a week > >  > Out of the hospital and tests are back...pneumonia due to streptococcal bacteria. Every thing else normal except the ige which was 600. I thought it was higher, but apparently last time dr tested it was 200. So we sent off the xolair paperwork today for a dose of 375. (3 shots). Here's hoping my insurance co approves. > > On a separate note, my dr recommends " strenuous exercise " to help expand airways and get fluid out. Its a struggle to exercise and eat right when I don't feel well and/or limited in activity level. I can certainly both sides of the discussion going on. Bottom line for me is that my lungs are a muscle need exercise as much as possible. > > > > > > > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > > > > > 2 questions: > > > > > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > > > > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > > > > > Thanks in advance. > > > > > > Mike > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 This is Addy, intervening before we start a second impassioned, easily misunderstood discussion in the same week. There's several strongly worded pending posts showing concern for Darcy which disagree either with Glenn's post or with Darcy's doctor. While it's well known that exercise can cause bronchoconstriction in folks for whom exercise is a TRIGGER (it's not one of my many triggers unless combined with newly mown grass), it is generally important for folks with lung disease to get appropriate, doctor sanctioned exercise. Case in point: my mother-in-law had COPD and was supposed to use a treadmill daily in order to keep her lungs working properly and to try to prevent pneumonia. She did NOT follow instructions and the health of her lungs suffered for it. But the amount and type of exercise she was supposed to do was authorized by her doc. Please, if one or more of us has concerns about a member's habits/practices/meds, it's ok to say why, but suggest the member talk to his/her doc or get a second opinion. Addy > > > > > > Saturday night one week ago I went to the ER as my nebs were not cutting into an attack. Early Sunday the doc told me he recommended inpatient...my first admit for asthma. As they were doing some blood work the doc came in and asked how long I'd been diabetic. SURPRISE! Between the untreatted disease and the steroids my sugars peaked at 550. Now down to the mid/upper 100's. At a follow up with my doc on Friday he asked if the pulmo who gives me the Xolair has any other tricks up his sleeve. He questions the efficacy of the Xolair at this point. I went more than 6 months almost symptom free. Now i am back in the ER about every 3 months or so with symptoms increasing. > > > > > > 2 questions: > > > > > > 1. Can/Does Xolair stop being as effective and need an increase in the amount needed? I am wondering if I can develop a tolerance to the med. > > > > > > 2. OT: Any other diabetics here? How do you balance Prednisone and what it does to blood sugars? > > > > > > Thanks in advance. > > > > > > Mike > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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