I take Insulin with breakfast and lunch. Take the prednisolone with breakfast. It actively increases insulin resistance starting about 3 hours after taking and lasting about 5 hours. Last year I was ok once the pred wore off and managed to keep the Blood Glucose low at other times, fasting BG was below 6.
Late last year a change occurred. Seeing my Endocrinologist in 2 weeks time. My fasting BG is now over 8 each morning and I have noticed it is harder to keep my post meal BG in the normal range even after the pred effect wears off.
About 4 weeks ago I started this low carb dieting. I am put myself on 20g of carbs a day. Which I have religiously stuck to. Initially I was able to lower my insulin but slowly it is creeping up again in an effort to keep my BG in the normal range. Up until now I have only needed the rapid insulin 2x day but I feel now I may need some kind of baseline insulin to lower the BG when fasting for instance.
Due to the Pred and the Insulin and pain making it difficult to exercise I put on a fair bit of weight which I want to lose.
However in the 4 weeks on the lowcarb eating plan I have not really lost any weight. Less than a kilo.
My next option is to stop drinking zero coke. I had thought that was 0 in carbs but maybe its upsetting things in other ways.
Other than that not sure what to do. Here is a sample days food:
8am : BG was 8.5 took 30 Units of Insulin (Novarapid)
Breakfast : 2 eggs scrambled with a bit of butter, covered with smoked salmon and some capers.
11am: BG 5.0 Had a hard boiled egg
12pm: Took 28 Units of Insulin (Novarapid)
1pm : lunch was some Roast Lamb with 1/4 roast Sweet potato 1 spoon of sour cream, Bowl of lettuce and 1/4 Avocado covered with Oil and Vinegar dressing.
4pm : BG was rising again to 6.5 so took another 5 Units of insulin to be safe
drank 1 cup of chicken bone broth
7pm : BG up again to 7.1 so took another 7 Units of Insulin
8 pm : supper : 2 hard boiled eggs with some mayo (0 carbs) and some smoked oysters.
I have to take the higher dose of Insulin before lunch due to the effect of the Prednisolone.
If anyone here has any suggestions would be greatly appreciated.