### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Thank you I have had rheumatoid arthritis. Dx 6 years ago I take. 20 mg daily. Anemia and pernicious anemia. Resent lab lipid panel great. CBC with diff all values normal. MCHC low (32.2) NA 142 MEQ , fasting glucose 158 HgbA1c. 7.3 percent average glucose 163 mg/dl TSH reflex to. FT4 1.94mU/L. I have had brain fog, unable to sleep, dry skin, puff face swollen flower legs, blurry vision beginning last 3 months sudden onset of night time incontinence and fatigue. I have fibromyalgia and Sojerns I am 52. I take Humaira injections weekly, B12 BI monthly wellbutrin 200 mg, preferring, trazadone100mg 2@HS. Is it likely I have actual diabetes or are the lab values a result of prednisone?

### output:

In Rheumatoid arthritis condition there will be autoimmune inflammation in body which will cause pain and swelling with this if the patient does not move his joints there will be more inflammation and there will be more swelling and pain. Which will start damaging the cartilage of the joint and will go for deformity over the period of time. Here the condition called as autoimmune because the immune system of the body which is supposed to fight only against the foreign body will start action (inflammation) against body cells. The classical symptom of rheumatoid arthritis is early morning stiffness for all small joints of body, specially for hand and feet. The only treatment is anti-inflammatory, and immune secretion Chat Doctor.  I also suggest my patient to follow anti-inflammatory diet like have good amount of omega 3 to have some more anti-inflammatory effect in body. For fibromyalgia again here also it's an autoimmune inflammatory condition but this affects mainly the muscles. Here the cause could be too much stress level on body, or hereditary anything. And again the treatment is exercises, anti-inflammatory 