, Volume 28, Issue 4, pp 491-492
Date: 24 Jan 2009

Glucose blood levels after intra-articular steroid injection in diabetic and non-diabetic patients

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Sir,

The recently published paper of Habib and Safia [1] on the effect of intra-articular corticosteroid injections (IASI) on glucose blood levels prompted us to report our data. We studied 16 patients who needed IASI for inflammatory arthritis; 12 were non-diabetic subjects (age 58 ± 14 years, mean ± SD, two men and ten women) and four patients had diabetes (age 58.7 ± 13 years, one man and three women). Rheumatoid arthritis was present in 12 patients (nine without diabetes, three with diabetes), two patients (one with and one without diabetes) had psoriatic arthritis, one non-diabetic patient had ankylosing spondylitis, and one non-diabetic patient had an acute arthritis due to calcium pyrophosphate dihydrate crystal deposition. All of the patients underwent IASI with 40 mg triamcinolone (Kenacort, Bristol-Myers-Squibb), and blood glucose was assessed for 24 h (at baseline in the morning before breakfast, 2 h after injection, immediately before and 2 h after lunch and dinner, and at 1