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I am a firm believer that your diet and the way our food is manufacturer, some foods have sugar in them but not in a different firm/name, plays a lot in our health, that’s my believe. Before PMR I normally did not eat a lot of sweets but in looking for answers sugar came up as not being one’s friend. So in doing some trail and error experiment I found that when I indulged in eating sugary products that certain pains would flair up, eliminate sugar and pain would leave. Just had blood work this month, my CRP and SED rate are in normal range. Was at my doctors office 3 days ago and he dropped my prednisone from 7.5mg/day to 5mg/day for the next 3 months and 5mg/day every other day for the second 3 months and will see him 6 months from my last visit. I firmly believe that diet (ie: sugar, etc.),exercise, and my medication have helped with my progress so far.
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I agree that diet makes a difference. Avoiding sugar is almost impossible over the holidays, but come January, I'm back to a strict minimal-sugar diet. I also need to reduce my salt intake, but that's actually harder for me than reducing sugar, as I'm a salt freak. I see my doctor in a month's time for an update. I'm down from 15 mg to 14 mg of pred a day, which is hardly significant, but if I taper down any more than a 1 mg per month, the pain starts to come back. Next week, I'm going to try going down to 13 mg a day, and so on.
Exercise is also important, as you noted. In fact, I've made a list of the things that affect my PMR pain, as follows, and will likely add to it as time goes on:
1. Sugar
2. Red meat
3. Processed foods
4. Lack of exercise
5. Stress
6. Lack of sleep
7. Damp chilly weather