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All those lovely corticosteroids, all of them!!!!

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They ALL raise blood sugar, and use of them may be the one time that

a cf patient with CFRD may actually have to do some serious carbohy

drate counting and use extra or more long-lasting medication for the

diabetes. Sometimes the rise does not show up until the dose is lower

simply because the rise may not occur immediately, but builds up over

time and finally appears during the tapering down which is often done.

I have MS, too, and do use Prednisone, or Dexomethasone about twice

a year--and always have to increase my meds for CFRD and do some

very serious carbohydrate counting--which is not the norm for CFRD, due to

nutritional needs--although I am very well nourished, indeed!

The hormones of pregnancy can do a similar thing, and one is, to put

it bluntly, sort of " stuck with it " and possibly a large baby and a C-sec

tion. Fortunately, it is all manageable, with a lot of will power!!!

Love and luck,

n Rojas

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