medications, immunosuppression and diabetes

Hello chic@s.How long without contact with you, obviously due to hospital health problems.
My illness will bring me problems for the rest of my life (retroperitonial fibrosis).Apart from diabetes (which is not little).I am bombarded with medication (cortisone, calcium, immunosuppresoser, anticoagulants, antidepressants ...) and antibiotics every two by three, since the doctor tells me, that I am immunosuppressed by the cortisone, and by diabetes, and I am constantly exposed to differentinfections
I smell like Levemir (6 units) in the morning (when I admit, they puncture me quickly before meals, but I get to indenting hypoglycemia), and I am very careful with the food, but with so much Cokctaill of medications, someone believes that I can controlGlucose in conditions ???A few days the food gives me some levels, and others something totally different.They are not alarming levels (at most 180), but I have to be very pending both before, after meals since I have taken in time of several hypos
The analytics are perfect, but my sacrifice costs me, it is without living
I need someone to encourage me
Thanks for listening to me

Of course your problem is complicated and we do not have radical solutions, but we can, with respect to diabetes, guide you a bit and, of course, support you.

I believe that in a case as complex as yours it would be highly recommended that they put insulin bomb, to be able to continually adapt the treatment to your changing circumstances.
Have you proposed it to you?Tell her with your endocrine, to see what she tells you.

Health and encouragement, here you have you.

In the case of Puri, what must be solved is that of fibrosis ... glycemia are secondary to that disorder.
Have you raised surgery?Maybe there could be some solution out there ...

Glycemia variations are common in many patients with diabetes, much more accused the more complex the patient is.In your case, the drug cocktail is wide so it is normal to have disparate glycems ...
If your maximum blood glucose is around 180 you have to congratulate you ... On that side it is very likely that you have no complications.

As for the hypos, prevention is the best thing there may be: control the glycemia always before and after each meal, which is what you are doing and what we usually do many of us ... most of all because except theContinuous glycemia meter There is no other better alternative to control diabetes.

Puri, I just want to send you courage, here we are if you need to vent.And hopefully surgery, as Owash comments, or drugs help you solve your problem.

Greetings.

Thanks to everyone for the attention provided.As you will understand, with 43 years that I have and 2 wonderful children, I have to worry excessively, but there comes a time that would throw the towel, but .....
Since last year, I am operated, since a fibroma obstructed me the right ureter and the aorta at that height, practicing a bypass in the artery, and taking great care of the kidney. The rest of the fibroids does not affect me at the moment any vital organ,Hence the whole solution is in the medication.I have visited almost all the medical specialists who exist (urologists, cardiologists, gynecologists, rheumatologists ............), and all coincide in "Take this test, take this medication, but above all care with theDIABETES".I mean what I take, do whatever you do, diabetes pursues me and complicates me, since it depends on the medication that they give me temporary (antibiotics), it goes up and gets out of control, because I have a week, which lowers me for no reason (Well or put on almost normal levels rather down), and I had to reduce the dose of basal insulin, since I have been planting at 60 levels (before dinner and eating) and 120 2 hours laterof eating and dinner.Is it normal ???Will it go up again ???Or is this another file x ??
A kiss from Alicante

Puri, you do well to lower the basal if they are low.Adapt insulin to your glycemia.If you know how to do it, there is no major problem and it may be stabilized for a season.Because of the values ​​you comment, it seems that diabetes have it very well controlled, so much encouragement.
A hug: d

Thank you again.
Let's see if someone can clarify something to me.Supremely, taking cortisone and with constant infections (adding antibiotics in -7), glucose increases irremediably.In addition, I take immunosuppressants 2000mg.My surprise is that my sugar levels have dropped too much, for me, non -diabetic (or more) levels.They are too low levels (60 before meals) 100-110 later, constant dizziness ... the mycophenolate prospect, it puts anything like glucose, and I do not understand what I know what is happening to me.As more than normal, for fear of the hypos, every 2 for three I punctu,.... something????????

Hi Puri, one of the adverse effects of the mofetil mycophenyl is hyperglycemia, you can check it here Link ... DO-L04AA06 .
If you had adjusted insulin to be taking mycophenyl and now you have taken it, it is normal for you to have hypoglycemia.The same goes for the cortisone that triggers glucose levels but if you already have the insulin calculated to deal with the effect of the cortisone because in principle you will not notice its effect, but if one day you remove it you will notice that you need less insulin.

When they began to give me the medication, it was joint (cortisone, mycophenolate, calcium, trifusal, omeprazole, nolotil ...), and of all of them, they only worried them the cortisone.I was diabetic, but 1 pill a day (metformin), when starting with the cortisone, I started with insulin, and most curious, hence my doubts, is that as I have reduced the dose of cortisone, they have to reduce meinsulin;I mean glucose moves (at least to me), according to the cortisone, the immunosuppressive, has always been the same amount, until August 1 that suspended it very momentarily, and only 1 week ago of my irregularities, when theCortisona I still take it and my infections follow ¿¿¿??????I'll talk to the doctor, but I imagine the answer "I don't know what" or "that's normal"
A kiss

Hi Puri, I have no scarce experience with diabetes (4 months), but this experience is entirely linked to medications.
My 13 -year -old daughter received a heart transplant 5 months ago and a month after the transplant was 200 on an empty stomach. As for the medications I tell you:
.Toma Cellcept (mycofelonato) and in my prospectus it can give hyperglycemia.
.Toma tacrolimus, another immunosuppressant who in the prospect says that in one in every 10 cases it produces diabetes, and that according to the endocrine is the one produced by diabetes to it.
.tome different antibiotics and antimicotics with sucrose.
And Urbasón, began with a mg per kg of weight (48 mg), and you see, for me in glyce control there is the quid of the matter.
At first a very strict diet, 10 of Lantus and Humalog before food and dinner, but it was time to rectify at the 2 hours of breakfast and eat. The immunosuppressants uploaded them in August, but the corticosteroids have been lowering them very muchLittle by little, and the consequences have been:
1st At two months, Humalog no longer needed, a puncture could be removed up to date, he once punched himself a week and from September 5 nothing (well)
2º I have been giving some more ration of HC which with the common one that has thanked.
3rd It has been able to gradually lower the Lantus, now it is clicking 6 u.of Lantus.
She measured glucose 6 to 8 times a day (now 6), and you see how you are for a few days in a row and act accordingly.I can tell you that the last wednesday we lowGlucose go up) and see what happens, I will observe a few more days and if I still talk to the endocrine to see if we can lower the lantus more.
In any case, the Urbasón takes to eliminate the organism, I believe that it is not these last 2 mg that have lowered the glucose but have accumulated to all those who have gradually removed.
Sorry Puri, it seems that I have written to you, but I hope it serves you as a reference.
all the best

First of all, things in order.I hope that the transplant has been very well, and the period of rejection and adaptation is being overcome gradually, which positively demonstrates the decrease in medication that is taking place.On the other hand, thank you with the examples with the movements of medicines, and their influence on glucose.I also take Cellcept (now the generic mofetil mycophenolate) and there are so many contraindications, which I have not come to read about hyperglycemia, anyway tomorrow (if the analysis are fine and the infection to refer), I will return with the 2000mgFrom Cellcept, with which for what you tell me the lack of control will begin again, but as they say, "it is what there is and what has touched me."The daily controls (6-8 times a day), is the only thing that makes me half control the subject, they help me know if the daily hydrates increase or decrease, since insulin is slow in the morning, and the medications goAnd they come according to my infections, today I take them, tomorrow not, and at the other hand again, or they change them again. Thank you for everything and a kiss.

What a joy that fuss, today it was the result of analysis and the hemo 5.9 the rest quite well, but oh surprise, they have urgently sent me to the endocrine, since in the analytics there is hyperthyroidism.The appointment has been sent preferred (I don't know when it will be) does anyone know if it will influence me for diabetes?Means more medication?I think it is a gland that regulates metabolism, but I don't understand anything I am reading there.

I have resumed mycophenolate (little by little until I take 2 gr.) And I have prescribed septric (antibiotic) 1 on alternate days to try to avoid continuous urine infections and to continue with my treatment
I give a step forward and four to behind.Does anyone not with me that it is the perfect combination to throw in the towel ????