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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sleeping Difficulty And Appetite Loss In A Diabetic?

Hi my name is Betti, am 81 years of age, diabetic.Have been on prednisolone for the past week due to neck pain radiating to base of skull, my dosage is 25mg daily. I am having terrible trouble sleeping, loss of appetite,tiredness and weakness, cannot sleep during the day. Can you advise me accordingly. Thanks
Wed, 17 Dec 2014
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Internal Medicine Specialist,  's  Response
Hello Betti,

Welcome to HCM and thanks for the query.
Your difficulty in sleep and loss of appetite (due to gastritis) are side effects of Prednisolone. Also you would have noticed that the blood sugar would have gone up.
I would be interested in knowing the diagnosis for which Prednisolone was started. If it is only neck pain with a radiculopathy, it is most likely to be due to a cervical spondylosis and degenerated disc exerting pressure on the nerves.
To relieve the pain due to such a radiculopathy, what I usually prescribe for my patients is Gabapentin which gives you good pain relief and sleep without the side effects of Prednisolone.
I am available if you have further queries.
Wish you good health
Dr Noble Zachariah
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What Causes Sleeping Difficulty And Appetite Loss In A Diabetic?

Hello Betti, Welcome to HCM and thanks for the query. Your difficulty in sleep and loss of appetite (due to gastritis) are side effects of Prednisolone. Also you would have noticed that the blood sugar would have gone up. I would be interested in knowing the diagnosis for which Prednisolone was started. If it is only neck pain with a radiculopathy, it is most likely to be due to a cervical spondylosis and degenerated disc exerting pressure on the nerves. To relieve the pain due to such a radiculopathy, what I usually prescribe for my patients is Gabapentin which gives you good pain relief and sleep without the side effects of Prednisolone. I am available if you have further queries. Wish you good health Dr Noble Zachariah