Hi ... I wanted to respond last week but first needed to check some facts. I had been diagnosed September 2010 with generalisid MG. I had experienced the complete top down symptoms of MG, Occular , breathing ,swallowing, loss of voice and extreme weekness. At the time I was diagnosed with MG I , and understand my symptoms were quick onset and I was very fortunte to have a just as quick diagnosed, was already a type two diabetic on both diabetic tablets nd insulin. And along came the MG symptons with the prednisone. From the outset,the endocrinologist that I was seeing for the diabetes gave me the best education on what I should expect from going on prednisone and the effects it would have on my blood sugar levels and , wait for it , the commbined effect of high sugar readings with MG symptoms. It is a double wammy on your energy levels. Now I am not playing the endocrinologist up against the neuro but believe me his rsearch is much more in depth as quite a few of his diabetic patients also has MG. So I , from my own experience and then also from the guidance and treatment I had been receicing from the Centre for Diabetes and Endocrinolgy here n Johannesburg , can Unequivically state that there is a DIRECT corrolation between the use of prednisone and increase blood sugar level , we all agree on that , and that furthermore, a diabetic who also has MG , high blood glucose levels and even a normal MG symptomatic day does contribute significantly to the weakness we feel at the time. Please keep me posted on the further discussions you have with your neuro and make sure that you regulary discuss this with yor diabetic specialist as he or she would be more open to ensure and adjust your insulin intake and give the necessary education on dietery and physical activity to assist you with counteracting the upward spiralling of the blood sugar level which , together with increased insulin dosages , comes with another set of side effects and unwanted complications. Regards Graham Steenkamp - South Africa.

I have myasthenia gravis and I am glucose intolerant. I am on no insulin pills or injections. At times my sugar will be low and others it will be somewhat high. I have definitely noticed a correlation between my blood sugar levels, whether it is low or high, and weakness that is very similar to the MG weakness. I experience many of the same symptoms such difficulty speaking, breathing, thinking and generalized weakness. I have known for some while now that eating can make me feel better or worse as related to MG. I haven't discussed this with the neurologist. This is simply my own observation.

I wish you well.

I have medication induced diabetes from the prednisone, I have MG. I do notice when my sugars are higher that I feel weaker and just sluggish and aweful in general.

This is the first time I have EVER commented on anything like this, but as I have been reading about different topics members have posted I feel like I am not as abnormal as I feel sometimes. I realize that MG is rare, but I see now that lots of other people also have it. It has been very encouraging and enlightening to learn more about MG. I am curious to know if any of you have cognitive impairments associated with MG. I have difficulty concentrating, responding, and even processing conversations at times when MG is more active. Is this MG or something else?

as far as sugar levels.....
I do know eating protein helps and many small meals for sugar that is all I know,
but with me... my MG symtoms are less, or should I say, I know I am worse, when I eat junky foods such as high salt. I am going to weight watchesr now because I am on predisone and I was craving everything.

As far as cognition.....yes it is worse for me in relation to being tired.
We have to be rested and eat healthy...seriously healthy....and high protien. At least that is what helps me.
Ann

As I read over your comment I thought I should mention .....there are so many changes I have noticed related to cognition. I am more emotional. I have noticed that I do think different many times and I notice I say things I wouldn't have said before. I noticed at a shower the other day I was eatng and pulling apart my chicken with my fingers. yes it was fried but I do know before MG I would have used my fork. So yes... cognition and thinking have changed. I have drawn conclusuions at times which are wrong anf I know I wouldn't have drawn that conclusion before. But I do notice I am better when rested or have not over done .....and I am sure you know what I mean. maybe we are just trying to make it, set priorities, enjoy what is going on, and maybe sometimes it effects our cognition.
Ann