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Old 06-28-2011, 09:59 AM   #1
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Effect on control when on an antibiotic

Hey gang,
Have any of you noticed a little more trouble controlling your blood glucose levels when you're on an antibiotic course for several weeks? All things in my routine are the same but I just came through my first ever 'bronchitis' in 49 years of life. Started in my chest, stayed in my chest. Almost all symptoms gone now after 2 weeks but the ZPac, (azythromycin) which you take for only 5 days, stays in your system for the normal 3 weeks of a antibiotic course. It's like I need to up my Lantus dose from 6 units to almost 10 to keep the same level of fasting control. And a little more Novalog with meals too. I've actually still stayed active through the sickness but there ARE limits when you have bronchitis.. But I'm almost symptom free now and back to my normal exercise regimen and still the BG levels are a little higher than normal; all other things being equal.

I've heard of steroids playing havoc in BG level control with T2s. But not antibiotics.

Any thoughts would be helpful.
Thanks!
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Dx T2 7/15/09, A1c 10.6; Most recent A1c - 4/20/11 5.8
Meds: 6iu Lantus/day; Very little Novalog with meals
Diet: LowER carb 70-100g carbs a day
Exercise: 8-12 miles cycling 3-5x/week

 
Old 06-28-2011, 10:44 AM   #2
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Re: Effect on control when on an antibiotic

It may be the antibiotics, but it could also very easily be a hold over from the infection. That can last for some time after you feel better too. Just make sure to test a lot as you don't want to crash when things go back to normal for you.
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Old 06-28-2011, 10:50 AM   #3
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Re: Effect on control when on an antibiotic

Quote:
Originally Posted by Cora1003 View Post
It may be the antibiotics, but it could also very easily be a hold over from the infection. That can last for some time after you feel better too. Just make sure to test a lot as you don't want to crash when things go back to normal for you.
Yes, good point, Cora. I only tried the 10 units for one day - with no crashes.. I actually prefer a little higher a number than 'that' feeling. I've only had 3 or 4 'real' hypos' since dx and only one of them severe '33mg/dL'.. That was the scariest feeling on earth. The whole room went 'sepia' in color and then the sweat just 'poured out of me' and I couldn't tame the insatiable hunger until after 2 bowls of Cocoa Crispies and three gulps of orange juice. Of course then I spiked to 250 for the overcorrection.. That was in the 'early days', though..

Good point, though. Thanks!
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Grant
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Dx T2 7/15/09, A1c 10.6; Most recent A1c - 4/20/11 5.8
Meds: 6iu Lantus/day; Very little Novalog with meals
Diet: LowER carb 70-100g carbs a day
Exercise: 8-12 miles cycling 3-5x/week

 
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Old 06-29-2011, 06:48 AM   #4
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Re: Effect on control when on an antibiotic

There are some antibiotics that can raise your glucose levels but I agree with Cora, more then likely it is the infection itself.

I've had a virus of some sort the past week, no antibiotics and my fasting BS has gone up about 8-14 pts. in the a.m.

Feel better and best wishes..JJ...
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Last edited by JJ; 06-29-2011 at 06:49 AM.

 
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