Effect of Corticosteroid Injections on Blood Glucose (CSI)
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ClinicalTrials.gov Identifier: NCT05048264 |
Recruitment Status :
Recruiting
First Posted : September 17, 2021
Last Update Posted : May 15, 2023
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Condition or disease |
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Diabetes Mellitus Steroid Diabetes Shoulder Pain |
The purpose of this study is to measure the effect of various corticosteroid and other anti-inflammatories administered to the glenohumeral joint 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.
Study Type : | Observational |
Estimated Enrollment : | 124 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | Corticosteroid Injections Administered Under Ultrasound Guidance to Diabetic Patients and the Effect on Blood Glucose |
Actual Study Start Date : | May 4, 2023 |
Estimated Primary Completion Date : | May 4, 2025 |
Estimated Study Completion Date : | May 4, 2025 |

Group/Cohort |
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Diabetic shoulder patients receiving an anti-inflammatory injection |
- Change in blood glucose measures [ Time Frame: Baseline & 2 weeks ]Reported daily glucose measures from baseline to two week after injection

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Ages Eligible for Study: | 40 Years to 75 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Known diabetic patients ages 40-75 undergoing clinically indicated standard of care anti-inflammatory glenohumeral 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 or in the shoulder 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)

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05048264
Contact: Duke Sports Medicine Research | 9196842042 | sportsmed_research@dm.duke.edu |
United States, North Carolina | |
Duke Sports Science Institute | Recruiting |
Durham, North Carolina, United States, 27705 | |
Principal Investigator: Anthony Ceraulo, MD |
Principal Investigator: | Anthony Ceraulo, MD | Duke University |
Responsible Party: | Duke University |
ClinicalTrials.gov Identifier: | NCT05048264 |
Other Study ID Numbers: |
Pro00108093 |
First Posted: | September 17, 2021 Key Record Dates |
Last Update Posted: | May 15, 2023 |
Last Verified: | May 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | Yes |
Diabetes Corticosteroids Injection Shoulder Pain |
Shoulder Pain Diabetes Mellitus Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases |
Arthralgia Joint Diseases Musculoskeletal Diseases Pain Neurologic Manifestations |