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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had High Blood Sugar. Changed To Metformin From Prednisone. Gets Pain In Arms. What Is It?

my medications seem to be in conflict with each other. I have been given Prednisone, but this brought my blood sugar level up, so I was given Metformin to bring it back down again. But this made me very ill. So I stopped Prednisone. Somewhere my other medication gives me pain in the upper arms. therefor Prednisone. Is there any other medicine I could take?

YYYY@YYYY
Fri, 13 Dec 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

A short course of Prednisone in low doses, does not raise Blood sugar. You apparently had either, an undiagnosed diabetes; or, latent diabetes (pre-diabetic stage) which was unmasked by prolonged use of Prednisone in high doses.

Pain in upper arms is commonly due to compression over spinal cord/nerves emerging from the spine. It can be a complication of prolonged diabetes (called diabetic neuropathy) or, due to certain Vitamin B- particularly B12 or Thiamin- deficiencies.


The exact cause can only be ascertained by medical examination and relevant tests.

Hence, consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised.

In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries.

Fond regards and have a nice day

Dr. Rakesh Karanwal
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Had High Blood Sugar. Changed To Metformin From Prednisone. Gets Pain In Arms. What Is It?

Hi there, Thanks for your query. A short course of Prednisone in low doses, does not raise Blood sugar. You apparently had either, an undiagnosed diabetes; or, latent diabetes (pre-diabetic stage) which was unmasked by prolonged use of Prednisone in high doses. Pain in upper arms is commonly due to compression over spinal cord/nerves emerging from the spine. It can be a complication of prolonged diabetes (called diabetic neuropathy) or, due to certain Vitamin B- particularly B12 or Thiamin- deficiencies. The exact cause can only be ascertained by medical examination and relevant tests. Hence, consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order required tests, and- based on the reports- will prescribe suitable/modified treatment as advised. In case of any further queries, revert back to me THROUGH DIRECT PREMIUM QUERY (Paid), addressed to me personally. You will receive- almost immediately- my response in great details. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE all doctors- engaged in social service- to render sound advice to the FREE queries. Fond regards and have a nice day Dr. Rakesh Karanwal