Corticosteroid Injections Administered Under Ultrasound Guidance to Diabetic Patients and the Effect on Blood Glucose
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus
- Sponsor
- Duke University
- Enrollment
- 38
- Locations
- 1
- Primary Endpoint
- Change in blood glucose measures
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
The purpose of this study is to measure the effect of various corticosteroids administered to the shoulder, knee and hip joints in diabetic patients on resultant blood glucose readings.
Detailed Description
The purpose of this study is to measure the effect of various corticosteroids administered to the shoulder, knee, and hip joints in diabetic patients on resultant blood glucose readings. Corticosteroid injections (CSI) are frequently used in orthopedic settings in order to treat a wide array of orthopedic issues, including osteoarthritis, bursitis, tendinitis, and many others. The effect of diabetes on the musculoskeletal system and its role in orthopedic disease has been well-documented. Current evidence demonstrates that corticosteroids, even when administered through a local musculoskeletal injection, can lead to temporary increases in blood glucose. Ultrasound guidance was not explicitly used in any of the studies examining the impact of steroids on blood glucose. The utilization of ultrasound guidance has been shown to increase accuracy when performing injections into the subacromial space as well as the glenohumeral joint when compared to palpation/landmark-guided injections.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Known diabetic patients ages 40-75 undergoing clinically indicated standard of care corticosteroid shoulder, knee and hip joint injection
- •Ability to perform daily blood glucose testing
- •Can receive and send text messages
Exclusion Criteria
- •Previous joint arthroplasty
- •Corticosteroid injection at other sites in the body within the past month
- •Systemic corticosteroid within the last month other than asthma inhaler
- •Anyone who are unable to read and/or understand English
- •Pregnant women (self-report)
Outcomes
Primary Outcomes
Change in blood glucose measures
Time Frame: Baseline & 2 weeks
Reported daily glucose measures from baseline to two week after injection