How do you deal with the extreme fatigue that goes along with autoimmune diseases like lupus and ra?

Fight it! Autoimmune diseases can be debilitating; my advice would be to fight it with all you have. Swimming, yoga, walking can be beneficial. A good diet can also be beneficial as proper nutrition is extremely important to maintain one's health.
Control. Physical exercise sounds counterintuitive but can actually help with the fatigue and make the day more manageable. Also, certain drugs such as Hydroxychloroquine may help the fatigue as well as control the lupus or rheumatoid arthritis.

Related Questions

Can someone with normal lab results still have lupus or RA or othe autoimmune diseases?

Possibly. About 98-99 percent of people with Lupus have a positive ANA test so it be unlikely to have lupus with a negative ANA blood test. On the other hand, in rheumatoid arthritis, especially in the early phases, a much larger minority of people may have a normal Rheumatoid factor test (but many of those people may have a positive CCP ab test that is seen in RA). Bottom line: possible but unlikely. Read more...

Does family history in first cousin (or other NON-first-degree relatives) increase risk for autoimmune diseases such as lupus, scleroderma, RA?

Yes. If you have autoimmune disease in your family - you are at increase risk to also develop Autoimmune diseases also seem to have a genetic component, but, mysteriously, they can cluster in families as different illnesses. For example, a mother may have lupus erythematosus; her daughter, diabetes; her grandmother, rheumatoid arthritis. Research is shedding light on genetic, as well as hormonal and environmental risk factors that contribute to the causes of these diseases. Read more...