Blood sugar and Entocort and Fissures

Good morning to everyone. Just went in for a flex/sig yesterday. I was half expecting to have a fistula, but no signs of one. The doc did show me two fissures, one fairly deep, the other not as bad. So I guess that explains the pain and bleeding. I'm no doctor, but comparing my images yesterday to that of some very affected Crohn's sufferers, and they didn't look "terrible." It amazes me that my joints could be hurting so much from such a small (to me) looking problem in my rectum.

So, again, my doc mentions Remicade and again I tell him it scares the hell out of me and I want to try everything we can before going that route.

So I am going to try Entocort (took my first 3 pill dose this morning) and cortisone suppositories (Endocort?) at bed time.
I have a couple questions about the Entocort. Not sure if anyone can answer or has experienced, but here goes:

1. Blood sugar levels. I'm Type I diabetic. Prednisone caused high blood sugars for me and I had to stop (refused to drop below about 250mg/dl.)
Have people seen a rise in blood sugars on Entocort (diabetic or non-diabetic.) Was it immediate or gradual? For me, Prednisone caused immediate rise in blood sugar levels. My doc said that the Entocort shouldn't have this effect, but of course, it is listed in the possible side effects. Uggh. I'm really hoping it doesn't affect my blood sugars and that I FINALLY have something I can take. (Fingers crossed.)

2. Entocort "warning label" said to carry identification which indicates that I am taking this prescription. Now, this is interesting, because I have never had a med that has said this on it (aside from insulin for the diabetes.) Am I gonna get twitchy and agitated from this stuff or something? It says something about "changes in mood" on the possible side effects. Is this what they are hinting at? Do I need to be concerned?
Thanks much!

Ahh. Well, unfortunately the Entocort did raise my bloodsugars just as the Prednisone did. Too bad, these really do help me. I stopped taking them after two days of high bloodsugars. I guess the "metabolic changes" hadn't occurred, as the only thing that happened was my bloodsugars came back into control by the next day thankfully.
Uggh. I am stuck. Diabetes and Crohn's don't play nicely together. :sad:

Miguel,
Have you tried anything like methotrexate to control the joint pain associated with Chron's? Many people do get relief from the arthritis and it can help the digestive tract inflamation too. It seems like it might be a step between steroids and the injectable/infusables. (although many people with Chron's who use mtx choose the injectable form rather than the pills)