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Living with Autoimmune Conditions: Multiple Sclerosis

March 24, 2022
Written by
Team NutriSense
Brooke McKelvey
Reviewed by
Cheri B.
RD

Living with an autoimmune disease isn’t easy. Like most chronic conditions, it can affect various aspects of your daily life. According to the National Institutes of Health, many Americans live with these conditions—up to 23.5 million. The same report also found that they disproportionately affect women and that (for unknown reasons) their prevalence is rising.

a doctor looking at head scans

Autoimmune diseases occur when your immune system begins to attack your body's organs, tissues, and cells. It can be because of genetics or other underlying causes. From type 1 diabetes to Graves’ disease, Rheumatoid arthritis to Celiac disease, they can all significantly impact your quality of life.

Because autoimmune diseases affect everything from blood glucose levels and thyroid glands to insulin levels and obesity, it’s important to understand the specifics of a few common ones. 

We’ve already talked about how autoimmune diseases affect your wellbeing and what it's like living with Hashimoto’s and Graves' disease. Since March is Multiple Sclerosis Awareness Month, we’re going to focus on what multiple sclerosis (MS) is, the different types, symptoms, and what managing and treating MS can look like for those who suffer from the condition. Read on to find out more.

What is Multiple Sclerosis?

Multiple sclerosis is a condition (typically diagnosed by a neurologist specializing in MS treatment) that affects your brain and spinal cord. Your brain and spinal cord make up your central nervous systems, and these central nervous systems control almost everything you do. So, it’s not surprising that the worsening of this condition can affect every aspect of your wellbeing, from bladder control to your vision.

Multiple sclerosis damages the Myelin sheath, the material that surrounds and protects your nerve cells. When this damage occurs, it blocks messages between your brain and body. 

Presently, there is no known cause of multiple sclerosis, and there’s some debate over whether it’s even an autoimmune disease. We’re including it in this series since, like other autoimmune diseases, it can affect your immune system, leading it to destroy the myelin sheath that protects nerve fibers in your brain and spinal cord. As with many immune system conditions, most types of multiple sclerosis are more prevalent in women than men.

Are There Different Types of MS?

a doctor explaining something about brain to a patient

There are four different types of MS, each slightly different. They include:

1. Clinically isolated syndrome (CIS): This has the same symptoms of multiple sclerosis but occurs as a single, isolated incident. It’s one of the first signs that you may have MS. Still, healthcare providers usually wait till you’ve had two or more CIS episodes before an MS diagnosis.

2. Relapsing-remitting MS (RRMS): This is the most common type of MS and the first stage of disease progression for some. With RRMS, you have flare-ups or attacks called relapses, then recovery time with few or no symptoms. The time of the flare-up, remission, and between each relapse varies from person to person.

3. Secondary progressive MS (SPMS): If you have multiple episodes of RRMS over 10 or 20 years, you can develop a type known as secondary progressive multiple sclerosis. It can be challenging to diagnose, so healthcare providers usually wait for months before they do so. With this disease progression, you may have worsening symptoms that affect your daily life and limit mobility.

4. Primary progressive MS (PPMS): PPMS is a rare type of MS. The primary problem is nerve damage and lesions that form across damaged nerves in your brain and spinal cord. It isn’t easy to diagnose, and, unlike most types of MS, it may affect men more than women.

A Note on Radiologically Isolated Syndrome

While this is not technically part of multiple sclerosis, it’s important to understand the connection. Radiologically isolated syndrome, or RIS, is a neurological condition related to the central nervous system.

Healthcare providers usually spot this during MRIs. An MRI of your brain or spinal cord (or both) will reveal white matter lesions that do not indicate any other condition. According to research, RIS can increase the risk of developing MS within ten years for many people. While research is ongoing, it’s something to keep an eye on.

What are the Common Symptoms of Multiple Sclerosis?

The symptoms associated with multiple sclerosis vary. Some symptoms depend on how much damage your nerve fibers have and which nerves in your body are affected. Some cases allow people to continue their day-to-day lives with good MS symptom management.

But the disease progression can be more severe for others, affecting their quality of life. Here are some common symptoms of MS to be aware of:

Vision Problems

an eye of a human

One of the first, most recognizable symptoms of multiple sclerosis is a problem with your vision. There are various ways that these symptoms display themselves. Sometimes, vision problems come and go when you have multiple sclerosis.

Occasionally, they can even resolve themselves. These issues can include diplopia (double vision), optic neuritis (pain and blurriness), nystagmus (involuntary eye movement), or (rarely) blindness.

Fatigue

Another common symptom of MS is fatigue, which approximately 80 percent of patients report feeling.

Difficulty Walking or Running

a person lending on their stick

Difficulty walking or running is often found in multiple sclerosis patients. It's due to side effects of the condition like weakness, loss of balance, and fatigue. Physical therapy and medication can sometimes help.

Dysesthesia

Dysesthesia is when you feel like your torso is being squeezed, but it isn't. Patients with MS may experience this chronic pain most often, and it's usually caused by nerve damage.

Spasticity

Spasticity is when you feel stiff and experience muscle spasms. It’s most common in the legs of people who have multiple sclerosis.

Weakness

MS patients often experience muscle weakness, which usually results from the disuse of muscular tissue due to nerve damage. Rehabilitation and mobility aids can sometimes help.

Numbness

Numbness is another common side effect of multiple sclerosis. It’s usually found in the face and extremities and is sometimes the first symptom among multiple sclerosis patients.

Detecting and Diagnosing Multiple Sclerosis

a doctor talking notes and talking to a patient

Detecting multiple sclerosis is challenging, mainly because there are no tests specifically to diagnose the condition. When doctors diagnose multiple sclerosis, they often base it on symptoms their patient may be feeling or by ruling out other conditions with similar symptoms.

The diagnosis of multiple sclerosis may take a great deal of time and is sometimes misdiagnosed in the early stages. If your doctor thinks you may have multiple sclerosis, they may suggest the following tests:

Blood Tests: Blood tests are the first test recommended by most doctors. They check for biomarkers linked to the disease and, while they're just the first step, can help narrow down the diagnosis.

MRIs: MRIs, or magnetic resonance imaging, are tests used to reveal lesions on your spinal cord and brain. Your doctor may give you an intravenous injection of contrast materials to highlight lesions and your brain and spine. It will indicate whether you have multiple sclerosis and if it is active.

Spinal Tap: If your doctor thinks there’s a possibility you have multiple sclerosis, they may suggest that you get a spinal tap or lumbar puncture. It's when your doctor will remove a small sample of cerebrospinal fluid from your spinal cord. This sample is then analyzed in a laboratory to show antibody abnormalities.

Evoked Potential Testing: Evoked potential tests record electrical signals responding to stimuli in your nervous system. These tests use visual stimuli and electro stimuli of different types—for example, you watch a visual pattern, and the test tracks your eye movements. Others send tiny electrical impulses into the nerves in your legs or arms. Your doctor will then measure how quickly you process the information in your nerve pathways.

How to Treat Multiple Sclerosis

a doctor taking notes

Presently, there is no known cure for multiple sclerosis. Treatments focus on how to manage symptoms and help patients return to as regular a routine as possible. If caught early enough and treated correctly, some patients with multiple sclerosis may only experience mild symptoms. 

Some doctors may recommend medication to deal with your symptoms like anti-depressants, muscle relaxants, and physical therapies.

If you have multiple sclerosis, your doctor will probably ask you to change your lifestyle. These include regular physical activity, a healthy diet according to your body‘s needs, preventing overheating, and managing stress.

Many nutrient-rich foods can also help you strengthen your immune system and manage the symptoms of multiple sclerosis. Remember, it’s best to work with a doctor or dietitian before making any significant changes to your diet. Working with a professional is the best way to begin working with your body to alleviate symptoms healthily. 

Quick Dietary Guidelines to Help Manage Multiple Sclerosis Limit your intake of added sugars and refined carbohydrates. Use tools like continuous glucose monitors to monitor how well your body responds to foods and breaks down sugars.  Consume fresh vegetables and fruit daily. Make sure that you’re choosing whole grains over refined grains.

Monitoring Your Blood Sugar with Multiple Sclerosis

Research shows there is no one specific diet to follow if you have multiple sclerosis. While there may be a lack of guidelines regarding a particular diet, developing healthy dietary and lifestyle habits is key to managing your symptoms. So, also focus on limiting sugar intake and tracking and monitoring your glucose levels. Balanced blood sugar levels can help your body deal with the symptoms that you may be experiencing due to multiple sclerosis.

Finding Support to Manage Multiple Sclerosis

A group of four people, three woman and one man sitting down to chat in what appears to be a support group

Managing an autoimmune disease can be challenging, but you don’t have to do it alone. Caregivers can be helpful, and having family or friends as pillars of support is invaluable. But often, it’s helpful to speak with people who know and understand first-hand what you’re going through.

It can be a good idea to find an MS support group. Support groups can help you find new ways (and motivation) to ensure you’re living well. They're also a good resource for symptom management and can be a sounding board when you want to discuss new treatments. And, perhaps most importantly, speaking with people who are going through similar challenges as you are can be good for your mental health.

The National Multiple Sclerosis Society has excellent resources for those with this condition. You can find mental health and support groups, MS treatments, financial support, legal resources, and much more.

Engage with Your Blood Glucose Levels with Nutrisense

Your blood sugar levels can significantly impact how your body feels and functions. That’s why stable blood glucose levels can be an important factor in supporting overall wellbeing.

With Nutrisense, you’ll be able to track your blood glucose levels over time using a CGM, so you can make lifestyle choices that support healthy living.

When you join the program, our team of credentialed dietitians and nutritionists are available for additional support and guidance to help you reach your goals.

Ready to take the first step? Start with our quiz to see how Nutrisense can support your health.

Click here to listen to the podcast.
Listen to the full podcast:
Living with Autoimmune Conditions: Multiple Sclerosis
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The Warning Signs of Nerve Damage You Should Watch Out For
The Warning Signs of Nerve Damage You Should Watch Out For

Because nerve damage can have many silent symptoms, it often goes undiagnosed in the early stages. Read on to learn more about what causes nerve damage and some warning signs to watch out for.

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The Ultimate Guide to Fiber and its Effect on Metabolic Health
The Ultimate Guide to Fiber and its Effect on Metabolic Health

Ready to learn all about fiber beyond just the basics? In this post, we dive deep into the different kinds of fiber and health benefits of each. From functional fiber to fermentation, we break down all the jargon into a layman's language.

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The Relationship Between Cardio and Blood Sugar
The Relationship Between Cardio and Blood Sugar

Did you know that cardio can help you lose weight as well as optimize your health and blood glucose? Here's everything you need to know about cardio and its relationship with blood sugar.

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The Side Effects of Unhealthy Weight Loss
The Side Effects of Unhealthy Weight Loss

Find out what unhealthy weight loss is and learn more about its side effects and what you can do to prevent them.

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The Relationship Between Low Blood Sugar and High Blood Pressure
The Relationship Between Low Blood Sugar and High Blood Pressure

Learn about the warning signs of low blood sugar and the relationship it has on blood pressure.

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The Positive Impact Weight Lifting Has on Blood Sugar
The Positive Impact Weight Lifting Has on Blood Sugar

Here is everything you need to know about the relationship between weight lifting and blood sugar.

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The Relationship Between Cholesterol and Blood Sugar
The Relationship Between Cholesterol and Blood Sugar

Cholesterol plays a very important role in the human body, contributing to the structure of the cells, helping with vitamin D synthesis, and also promoting the production of steroid and sex hormones, like cortisol, aldosterone, testosterone, and estrogen. But how exactly is cholesterol connected to blood glucose levels?

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The Link Between Sleep Apnea and Diabetes
The Link Between Sleep Apnea and Diabetes

NutriSense dietitian Katrina Larsen, MS, RD,N, LD, CDCES discusses the risk factors for sleep apnea and how this disorder is linked to other health conditions.

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The Paleo Diet and Blood Glucose Levels
The Paleo Diet and Blood Glucose Levels

The premise of the paleo diet is that the body can handle a mix of meats, fruits and vegetables, eggs, fish, and complex carbohydrates better than processed meats, refined fats, grains and simple carbohydrates because it evolved to eat the first category as hunter-gatherers.

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The Health Benefits of Winter Squash
The Health Benefits of Winter Squash

A common ingredient in cozy winter recipes, winter squash is one of our favorite foods this time of year. Read on to learn more about how it can benefit your health.

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The NutriSense Holiday Gift Guide: Stocking Stuffers We Love
The NutriSense Holiday Gift Guide: Stocking Stuffers We Love

Haven't finished your holiday shopping yet? Pick from this list of NutriSense-approved holiday gifts to find some great last-minute stocking stuffers for everyone on your list!

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The NutriSense Holiday Gift Guide: Health-Focused Gifts They’ll Love
The NutriSense Holiday Gift Guide: Health-Focused Gifts They’ll Love

Still haven't bought all your holiday gifts this year? Don't worry—there's still time to find the perfect gift for everyone on your list. Read our guide for some great ideas!

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The Link Between Inflammation and Blood Glucose
The Link Between Inflammation and Blood Glucose

Learn more about inflammation, how it affects blood glucose levels and what you can do to prevent and manage it.

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The Health Benefits of Adding Fermented Foods to Your Diet
The Health Benefits of Adding Fermented Foods to Your Diet

Fermented foods have a range of health benefits. Read on to learn more about what they are and why you should be adding them to your diet.

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The Health Benefits of Potatoes, Yams, and Sweet Potatoes
The Health Benefits of Potatoes, Yams, and Sweet Potatoes

Potatoes, yams, and sweet potatoes are similar in usage, but pretty distinct in taste, texture, appearance, and even nutritional content! Read on to find out more about each one.

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The Health Benefits of Living With Pets
The Health Benefits of Living With Pets

Did you know that living with a pet can do more than just put a smile on your face? Read on to learn all the ways living with pets improves your wellbeing.

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The Health Benefits of Cooking With Herbs and Spices
The Health Benefits of Cooking With Herbs and Spices

Herbs and spices are a great way to add flavor to dishes, and also have a range of health benefits. Learn more about a few of our favorites.

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The Health Benefits of Beans
The Health Benefits of Beans

Learn about the health benefits of beans and how they can help you live a healthier, longer life.

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The Guide to Metabolic Diets: What Are They, Do They Work, And Who Should Try Them?
The Guide to Metabolic Diets: What Are They, Do They Work, And Who Should Try Them?

Review our guide to metabolic diets to help get a better understanding of what they are and whether they might be right for you.

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The Foods and Traditions of Kwanzaa
The Foods and Traditions of Kwanzaa

Learn about the traditions and nutrient-dense food commonly enjoyed during Kwanzaa. 

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The Blood Sugar and Joint Pain Connection
The Blood Sugar and Joint Pain Connection

Have you ever wondered how your glucose levels might be connected to joint pain? We'll take a deep dive into this connection and share tips for reducing pain.

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The Best Diet for Non-Diabetic Hypoglycemia
The Best Diet for Non-Diabetic Hypoglycemia

This article explores hypoglycemia in non-diabetics, how to manage symptoms through diet, and the advantages of glucose monitoring.

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The Effect of Aging on Your Blood Glucose Levels
The Effect of Aging on Your Blood Glucose Levels

Take a look at how aging can affect your blood glucose levels.

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The Best Diet to Increase Your Vitamin D Levels
The Best Diet to Increase Your Vitamin D Levels

Read on to learn more about vitamin D-rich foods and what you should include in your diet to make the most of this vitamin’s health benefits.

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The Best Diet for Menstruation
The Best Diet for Menstruation

When it comes to your menstrual cycle, what you eat can significantly impact how you feel. Read on to learn more about the best foods to add to your diet to help during that time of the month.

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The Benefits and Risks of Popular Ayurvedic Herbs and Spices
The Benefits and Risks of Popular Ayurvedic Herbs and Spices

Ayurveda is an ancient Indian holistic healing system that dates back over 5,000 years. In the second installment of our series on the practice, review the benefits and risks associated with popular Ayurvedic herbs and spices.

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The Beginner’s Guide to the Low FODMAP Diet
The Beginner’s Guide to the Low FODMAP Diet

In this article, we break down what a low FODMAP diet looks like for beginners, and its potential benefits and drawbacks for gastrointestinal health.

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The 6 Worst Foods for Osteoporosis
The 6 Worst Foods for Osteoporosis

When it comes to bone health, good nutrition is absolutely critical. Read on to learn what osteoporosis is and why some foods may increase your risk of or worsen the condition.