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Cited by 7Diabetes Management and ResearchAdrenal Hormones and DisordersSkin Diseases and Diabetes

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 access
Povlsen, Bo, Povlsen, Sebastian D·2014·BMJ Case Reports
DOI 10.1136/bcr-2014-203777PMC PMC4158240
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Abstract

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.

Overview

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Registry

Crossref · 10.1136/bcr-2014-203777

Cites

9 of 9 references verified0 citation errors · 0 not checkable

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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)
DOI
10.1136/bcr-2014-203777
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
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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