There has been no reports of the effect of various kinds of steroid or various dose of steroid which are commonly used in the clinical setting. Previous studies have simply shown that the blood glucose level is elevated in diabetes patients and did not show or suggest the adequate strategy of epidural steroid injection in diabetes patients regarding steroid type, dosage or injection interval. Therefore, the investigators tried to evaluate the effect of different dosage of triamcinolone, which is a commonly used steroid in epidural steroid injection, on the blood glucose level.
It is well known that blood glucose level is elevated in diabetes patients more than non-diabetes patients who underwent the epidural steroid injection. However, there has been no reports of the effect of various kinds of steroid or various dose of steroid which are commonly used in the clinical setting. Previous studies have simply shown that the blood glucose level is elevated in diabetes patients and did not show or suggest the adequate strategy of epidural steroid injection in diabetes patients regarding steroid type, dosage or injection interval. Therefore, the investigators tried to evaluate the effect of different dosage of triamcinolone, which is a commonly used steroid in epidural steroid injection, on the blood glucose level.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Masking
SINGLE
Enrollment
125
epidural steroid injection with Triamcinolone 40mg
Selective transforaminal epidural block with triamcinolone 20 mg
caudal epidural steroid injection with Triamcinolone 20mg
Selective transforaminal epidural block with triamcinolone 40 mg
Samsung Medical Center
Seoul, South Korea
fasting blood glucose level
before breakfast (fasting state)
Time frame: at 7:00 am of postprocedure day 1
fasting blood glucose level
before breakfast (fasting state)
Time frame: at 7:00 am of postprocedure day 2
fasting blood glucose level
Time frame: at 7:00 am of postprocedure day 3
fasting blood glucose level
Time frame: at 7:00 am of postprocedure day 4
fasting blood glucose level
Time frame: at 7:00 am of postprocedure day 5
fasting blood glucose level
Time frame: at 7:00 am of postprocedure day 6
fasting blood glucose level
Time frame: at 7:00 am of postprocedure day 7
fasting blood glucose
Time frame: at 7:00 am of postprocedure day 14
post-prandial glucose level
2 hour after dinner
Time frame: 2 hour after dinner at postprandial day 1, 2, 3, 4, 5, 6, 7, 14
visual analogue scale of subjective pain
at 7:00 am of postprocedure day 5
Time frame: at 7 p.m. of postprocedure day 1, 2, 3, 4, 5, 6, 7, 14
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