The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Steroid injection for shoulder pain causes prolonged increased glucose level in type 1 diabetics
Open accessAbstract
Shoulder pain is very common in diabetic patients and often treated with steroid injections, with subsequent increases in blood glucose levels or the need for additional insulin being questioned. We report a case of significant and prolonged elevation of blood glucose levels and resultant insulin requirement in a type 1 diabetic man after a single 40 mg injection of triamcinolone for shoulder pain. Within 48 h, the shoulder pain as assessed by a visual analogue scale (0–10) was reduced to zero, but the elevated insulin requirements continued for 4 weeks after the injection. This finding suggests that steroid injections for shoulder pain in diabetics may not always be as safe as previously thought. We propose that medical practitioners advise their patients to monitor their glucose levels more carefully after such injections and that caution is exercised when considering administrating these injections to those who have poorly controlled blood glucose levels preinjection to avoid ketoacidosis.
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Katz, A., Shulkin, A., Housni, A., Roy‐Fleming, A., Rabasa‐Lhoret, R., Yale, J., Tsoukas, M. A., Peters, T. M., & Brazeau, A. (2026) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.70465 · Cited by 3
Metadata
- Authors
- Povlsen, B., & Povlsen, S. D.
- Affiliations
- University of Oxford (GB)
- Corresponding author
- Povlsen, Bo
- ORCID
- Povlsen, Sebastian D
- Venue
- BMJ Case Reports
- Publisher
- BMJ
- Published
- 2014-09-08
- Volume
- 2014
- Pages
- bcr2014203777
- ISSN
- 1757-790X (ISSN-L)
- PMC
- PMC4158240
- OpenAlex
- W2056463642
- Cited by
- 7
- References
- 9
- Citations by year
- 2026: 2 · 2022: 1 · 2019: 1 · 2017: 1 · 2016: 1 · 2014: 1
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- BMJ Case Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
- Health Sciences › Medicine › Dermatology › Skin Diseases and Diabetes
- Keywords
- shoulder pain, type 1 diabetes, corticosteroid injection, triamcinolone, hyperglycemia, insulin requirement, blood glucose monitoring, diabetic ketoacidosis, injection safety
- MeSH terms
- Anti-Inflammatory Agents, Blood Glucose, Diabetes Mellitus, Type 1, Humans, Injections, Intra-Articular, Insulin, Male, Steroids, Triamcinolone, Diabetic Ketoacidosis, Shoulder Pain
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