Wow, long day in town today, but the weather here was wonderful! It was in the 70s, sunny and just beautiful. Driving around with the windows down, appreciating the short hair
Saw the pulmonologist this am and talked about the prednisone. My main question was, is it realistic to expect to get off the steroid altogether? Answer---not so much. He thinks I'll always be on a low dose, like 5-10 mg a day. Not really what I wanted to hear, but at least now I have realistic expectations.
Second question was, when I taper down and if I have a flare with my lungs, is that causing more damage or is it just a make me miserable thing? Is it a "suck it up and get through a week or so and my body will normalize and tolerate the lower dose?" again....nope. A flare is actually causing new damage to the airways he says. Goody.
On the good note, my spirometery was the best it's been since I've been seeing him. Still not great, but I'll take what I can get, right? He gave me some samples of Pulmicort, to add in as an additional inhaled steroid to the Advair once my prednisone gets down to 10mg a day. I like the idea of the inhaled meds better, but I understand the prednisone is not just working on my lungs right now, it's holding the gvh in check all over the body.
Sugars are improving a little. Under 300 all day today--baby steps! and no episodes of low sugar, so that's a good thing. Being home alone that's kind of concerning for me, especially being new to the insulin again. Once I have a better handle on how it works with me, I'll be a little more assertive about dropping the numbers down. But at this level, I had no headache or blurry vision today, so I'm much happier!
Another good note--I have another new layer! I guess I lost track of how old some of my barred Rock pullets are, I thought they were still a month out. Found a nice little light brown pullet egg in their pen today, and when I let them out to free range with the main flock (working on integrating), Eric courted and mated her. I'm excited because she and the other two Rocks will be Eric's ladies for black sex links later this spring, his little harem