The majority of people living with lupus today, in fact 80-90% of them, can expect to live a normal length of human life and unless there is moderate to severe organ involvement or if a person must take immunosuppressive / immunomodulating medications that would place the mother at risk, there is no absolute reason why a person with lupus should not have children and lead a pretty normal life. It all depends of the number and length of remissions and exacerbations of this disease and of the severeness of kidney damage, called lupus nephritis (nephropathy is also typical for diabetes and for hypertension as a consequence of obesity).

But what are additional risks in this person, are her obesity and the diabetes. When combined in co-morbidity with the systemic lupus, they could do more harm than when there is lupus only, because they all attack small blood vessels and capillaries (especially, remarkable in kidneys).

Luckily, obesity as well as diabetes are self-controllable and much can be done about both of them with self-discipline and frequent doctor follow-ups.

As an addition, life-long steroid treatment in combination with increased blood glucose levels could irreversibly damage the small blood vessel walls, an inevitable process which she might try to slow down by daily 1 gram dosage of oral vitamin C.