I have fibromyalgia and/or chronic fatigue syndrome. Most of the doctors in the midwest consider them virtually the same disorder. I have the official diagnosis of fibromyalgia (which one doctor called chronic fatigue with pain. In other words, if I didn't have the pain they would have diagnosed chronic fatigue).
As much as the pain sucks, it's the fatigue that has been more life-altering. I could work with a lot of pain. It wasn't fun, but I could function, and have a life. But at the worst, I was sleeping (unconscious, not depressed moping in bed, actually unconscious sleeping) up to 20 hours a day. Before I experienced it, I would have never thought that fatigue could be worse than pain, but sleeping your life away can make pain seem like the lesser of two evils.
For years, I did self-medicate the fatigue with carbs (and large doses of caffeine), and from what I've read it's likely that it backfired on me. What helped in the short-term, was devastating in the long run. From what I've heard in support groups and have read, a lot of people with fibro and cfids and related issues do poorly on high carb diets. The Zone and Southbeach were most often recommended. I aim at fewer carbs, but probably average pretty Zone-ish. (40% calories from carbs, 30% protein, and 30% fat).
I have noticed that the energy "peak" that sugar and quick-release carbs provide has gotten shorter and shorter, and the resulting "crash" deeper and deeper. To the point that a small candybar seems to give me 20 minutes of energy followed by a two hour crash.
Ten years ago, it seemed like the reverse 2 hours of energy and a 20 minute crash.
It's come to the point that I try to avoid sugar and other refined carbs like the plague, but I don't always succeed. I do keep most "junk" carbs out of the house, but old habits die hard and on a bad day, I can use craisins or other dried fruit like candy (and the physiological effect isn't all that different either). Even fresh fruit I can overdo to the point that I feel sluggish.
I need the structure of an exchange plan. I'm not always perfectly on-plan, but it does at least remind me of my portion goals, and I can see at a glance (because I use a checklist/chart) if my day is carb-heavy.
I was using provigil as an energy booster for occasional use. Though my neurologist warned me to use it to make good days better, not to try to make a bad day tolerable. I experienced rebound fatigue if I took it more than 1 day in a row, but many people don't. Some people use it as a maintenance drug (daily - or daily during the work week). If I'd been prescribed it before I went onto disability, my neurologist said he might prescribe it for daily use, though he would recommend weekends off. He said that the research found that most people don't get immune to the effects, but in his experience, a small percentage of patients do. For chronic fatigue illnesses, he doesn't want to prescribe it daily "just in case" the patient is one of the few for whom it becomes less effective over time.
I've not used provigil in more than a year, because I've been able to manage with an afternoon nap and small doses of caffeine.
Some doctors (like my general practitioner) consider caffeine safer with fewer side effects than provigil, and some (like my neurologist) consider provigil safer with fewer side effects.
Caffeine won out for me, because it requires no prescription and is cheap.
I don't drink coffee though because I don't like it, and it usually has too much caffeine for me (200 and even 300mg of caffeine isn't unusual, and 150 is probably about average, at least as my hubby brews it). I tend to stick to tea and diet soft drinks that have around 50mg of caffeine or less.
For me a low level of caffeine throughout the morning and early afternoon, works better than a large dose. I'm trying to substitute caffeinated teas more and more for the diet sodas, because at least the teas have antioxidants and other healthy stuff besides the caffeine.
I don't have any trouble falling asleep even if I drink tea or soda right before bed, but I have trouble staying asleep and sleeping deeply, so I cut out the caffeine at least 6 to 8 hours before I plan on going to bed.
Last edited by kaplods; 01-01-2011 at 10:41 PM.
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