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Discussion Starter #1
I take Advair 250/50 daily for moderate to severe asthma. I'd like to get off of it, but each time I tried that it has ended badly. Viruses (like the common cold) are triggers for me--among other things--and when these turn into asthmatic bronchitis it's VERY difficult to get on top of things when I haven't been taking steroids regularly. I can't afford to be sick for months on end--it makes it very difficult for me to speak and my work requires a good deal of public speaking, I don't work efficiently when I'm ill, and because I'm self employed my income is dependent on my well-being.

While I still sometimes have an asthmatic response while taking my inhaled steroids regularly, they are far less frequent and far less severe. So for now, it's not an option to get off the inhaled steroid. (It is a personal goal and my doctor is willing to work with me on it after "flu and cold season", though I don't know what I can do differently to prevent the bad bouts of bronchitis).

But I'm wondering how much of an effect the inhaled steroid might be having on my metabolism? It's supposed to be far less than oral steroids which are systemic, but I'm guessing it's not entirely benign. I'm mostly careful with my diet, but despite the fact that I don't have "full blown" diabetes I'm struggling to keep my BG in a good range with 2000 mg of metformin/day. I have several "strikes" against me--lifelong genetic PCOS with severe insulin resistance, menopause, stubborn belly fat. So it's likely a combination of all of these. But I can't help wondering how much the inhaled steroid is contributing?

Has anyone successfully stopped their inhaled steroids and seen a change in their BG control?
 

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I used to get severe allergic bronchitis with the change of seasons, and on my doctors advice have used the Seretide accuhaler for a year or so. Somehow the control on BG and LCHF has kept the infection away since 2011. But I do take a Omega 3 pill & 2 gms Vit C every day for immunity boost.
 

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Discussion Starter #3
I had two years with no uri's and no bronchitis but last year I had three bouts. First one was rough but I got through the second and third bout with higher doses of inhaled steroid.
 

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I have used Seretide for years (20 years +/-).
What made me be able to not have to use it every day was when I found my foodallergies and removed those from my menu.
Now I have to take Seretide 50/250 (and not 50/500 as I used before) in periods.
An inhalation makes my BG rise from 4 to 5 for an hour or so.
 

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I use Seritide too. I'm down to the 120 dose and use it once a day before bed.

I also have a strong nasal spray for my polyps.

I wonder about the long term effects in general as well as their effects on my BG. My Dr tells me it won't make any difference to either. But he would say that wouldn't he.
 

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I saw this Kaiser endocrinologist. I really didn't like her and thought most of what she had to say was pure bunk, but she's the one who posed the question whether the inhaled steroids might be affecting my BG. She didn't know, she was just giving me one more thing to worry about. @#%!
 

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I have used Seretide for years (20 years +/-).
What made me be able to not have to use it every day was when I found my foodallergies and removed those from my menu.
Now I have to take Seretide 50/250 (and not 50/500 as I used before) in periods.
Food sensitivities (lower reaction than a full-blown allergy) can wreck havoc with people's immune system. Plus, some of the symptoms can mimic other things like hay fever, flu, ear infections, sinus infections, etc. etc. My husband has egg and dairy sensitivity - and his symptoms are so much like hay fever that he was going to see a specialist for it - but fortunately had the allergy/sensitivity tests first and when he stopped eating both of these his "hay fever" went away.

I get what looks like sinus infection from potato - even went on a couple rounds of antibiotics until I put 2 and 2 together and stopped eating all those potato chips (this was pre-diabetes dx).

Sensitivities have an accumulative effect. If you are bombarding your body with several allergens, your immune system can become overwhelmed and cannot deal effectively with any of them or even other factors that one isn't sensitive to. Finding out about and eliminating allergens can be life changing.
 
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