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March 27
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A MGteam Member

Hi Carol
Yes, I developed diabetes from prednisone. Pretty sure of that though My family was prone to it. Plus I was a sugar addict.
I've been on prednisone for 33 years. Started out with 20 mg. Went down to 10 and I've been on 5 mg for many years.
However, in 2021 I was having some medical issues and they took me off of metformin that I use for about 25 years and I have been living without any medication for the last 4 years I'm able to keep my sugar under control just by watching what I eat.
You got to stay away from sugar, starches and carbs.
That means no flour, no sugar, no pasta, no rice, very little dairy.
I do eat fruit mostly berries which are low glycemic index.
The dues are proteins, meats, eggs and non-starchy vegetables 🥒🍆
It's possible.

March 27
A MGteam Member

Prednisone will elevate blood sugar

March 27
A MGteam Member

My blood sugar has been rising since I was started on prednisone, 30 mg. A1C went from 6 to 9 in 1 month. I've had 2 Hep B vaccinations and will wean off prednisone after starting Cellcept in April. They sent me Metformin but I haven't been home for a month so haven't started that, probably won't even after I get home. I have cut back the prednisone to 20 mg. per day. My finger sticks have been steady at 140 fasting. Blood pressure has been very normal, so that hasn't been affected. Getting a one scan next month to set a baseline because bone loss is another side effect of prednisone. Best course for the diabetes is to go keto.

March 27
A MGteam Member

Yes I was one that ended up with pre diabetes but thankfully I was aware of the signs and symptoms and my Dr started to wean me off of it and replaced it with cellcept. My symptoms of previous diabetes have gone away just waiting on next blood tests…..scary!

March 27
MGteam

Has prednisone caused diabetes for you or others with MG?

You're absolutely right that prednisone can be incredibly effective for MG while also bringing challenging side effects. Research shows that people with MG who take steroids have a 46% increased risk of developing diabetes compared to those who don't use steroids.

Show Full Answer

Has prednisone caused diabetes for you or others with MG?

You're absolutely right that prednisone can be incredibly effective for MG while also bringing challenging side effects. Research shows that people with MG who take steroids have a 46% increased risk of developing diabetes compared to those who don't use steroids.

Prednisone affects blood sugar in several ways:

- It interferes with how cells use insulin
- It prevents fat and muscle cells from absorbing glucose properly
- It causes the liver to release more glucose into the bloodstream

Studies found that people with MG who didn't take steroids didn't have an increased diabetes risk, but steroid use raised that risk significantly. Overall, MG itself increases diabetes risk by about 26%, largely due to corticosteroid treatments.

The good news is that for many people, stopping or reducing steroid treatment can bring blood sugar levels back to normal. However, some may need ongoing management through diet changes, exercise, blood sugar monitoring, or medications.

If you're experiencing high blood sugar or diabetes symptoms while on prednisone, talking with your doctor about adjusting your treatment plan or exploring newer MG therapies that might reduce steroid dependence could be helpful.

March 27

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