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The effect of dexamethasone on blood glucose concentrations in diabetic and non diabetic surgical patients

Not Applicable
Completed
Conditions
Health Condition 1: null- Patients with and without Diabetes mellitus posted for elective surgery
Registration Number
CTRI/2017/03/008150
Lead Sponsor
M S Ramaiah Medical College
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
180
Inclusion Criteria

1 Age between 18-70 years

2 American Society of Anaesthesiologists (ASA) Grade I or II.

3 Patients with weight >=50kg

4 Patients undergoing lower extremities and infra umbilical surgeries under spinal anaesthesia.

5 Pre operative GRBS between 80 - 180 mg %

Exclusion Criteria

1.Recent IV or oral steroid therapy within last 48 hours

2.Allergy to dexamethasone

3. Conversion to General anaesthesia

4.Body mass index >35

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The outcome of the study is to observe blood glucose concentrations after placebo and 4 or 8mg of dexamethasone in non-diabetic and type 2 diabetic patients undergoing routine surgery under spinal anaesthesia.Timepoint: Finger prick capillary blood glucose will be measured immediately before <br/ ><br>dexamethasone administration (T0) and at 60 minutes (T1), 120 minutes (T2), 180 minutes (T3), 240 minutes <br/ ><br>(T4), 360 minutes (T5) and 480 minutes(T6) thereafter using a glucometer
Secondary Outcome Measures
NameTimeMethod
Incidence of postoperative nausea and vomiting following Dexamethasone 4mg/8mg compared to placeboTimepoint: Finger prick capillary blood glucose will be measured immediately before dexamethasone administration (T0) and at 60 (T1), 120 (T2), 180 (T3), 240 (T4), 360 (T5) and 480 minutes(T6) thereafter using a glucometer.
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