Diabetes Mellitus Clinical Trial
Official title:
A Randomized Single Blinded Prospective Analysis for NSAID VS Corticosteroid Shoulder Injection in Diabetic Patients
Sixty patients will be identified in the clinic with rotator cuff tendonitis or a low-grade
partial-thickness tear of the rotator cuff that are either insulin-dependent or
insulin-independent diabetics. Patients will be informed about the current prospective study
and written consent will be obtained. Patient information about kidney function, current
diabetic medication type, dose and frequency will be obtained in clinic. If there is a
diagnosed kidney function abnormality, the patient will be excluded from the study. Patients
will be asked about their most recent HbA1C. If HbA1C has not been checked within the past 3
months, the patient will have HbA1C checked in the lab either same day as the injection or
the following day. Patients will be randomized into two patient groups: Toradol (Ketorolac)
injection group (n=30) and or Steroid injection group (n=30). The randomization will be done
using an online randomization tool: http://www.graphpad.com/quickcalcs/index.cfm.
Patients assigned to Toradol group will receive 60mg of Toradol (Ketorolac) mixed with 8mL of
1% lidocaine with epinephrine 1:100,000. Those assigned to Steroid group will receive 80mg of
Kenalog (Triamcinolone Acetonide) mixed with 8mL of 1% lidocaine with epinephrine 1:100,000.
Patients will be blinded to the kind of injection they receive, but the physicians who
perform the injection will not be blinded for the medical record purposes. The injection will
be done under ultrasound guidance to the subacromial space. Continuous blood glucose
measurement will be started in an hour within the injection. An instructional session about
continuous glucose monitoring will be given to the patients by our research team immediately
following the injection. The blood glucose levels will be monitored for 1 week following the
injection. The data will be collected on the patient's return to clinic in 2 weeks. Pain
score based on a visual analog scale will be obtained prior to injection, 5 min, 3 days, 1
week, 2 weeks, 4 weeks, 6 weeks, 8 weeks, and 12 weeks after injection. Shoulder range of
motion, patient satisfaction, QuickDash score, and ASES survey score will be measured in
clinic 4, 8, and 12 weeks after injection.
Day 1: Patient will be seen in the clinic. Patient will be provided information about the
study, consented and recruited to the study. Obtain pre-injection HbA1c. If no previous
HbA1c, obtain a new one on the following day in the morning Injection will be administered to
the patient. Pain score will be obtained prior to injection and 5 min after injection. Blood
glucose measurement will be started in an hour of the injection and will last for one week
after the injection.
Day 3: Patients will be contacted by phone for pain score.
1 Week: Patients will be contacted by phone for pain score. 2 Weeks: Patient will be seen at
clinic for a follow up and for pain score. 4 Weeks: Patient will be seen at clinic for pain
score and for range of motion, QuickDASH, and ASES scores.
6 Weeks: Patients will be contacted by phone for pain score. 8 Weeks: Patient will be seen at
clinic for pain score and for range of motion, QuickDASH, and ASES scores.
12 Weeks: Patient will be seen at clinic for pain score and for range of motion, QuickDASH,
and ASES scores.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT03743779 -
Mastering Diabetes Pilot Study
|
||
| Completed |
NCT03786978 -
Pharmaceutical Care in the Reduction of Readmission Rates in Diabetes Melitus
|
N/A | |
| Completed |
NCT01804803 -
DIgital Assisted MONitoring for DiabeteS - I
|
N/A | |
| Completed |
NCT05039970 -
A Real-World Study of a Mobile Device-based Serious Health Game on Session Attendance in the National Diabetes Prevention Program
|
N/A | |
| Completed |
NCT04507867 -
Effect of a NSS to Reduce Complications in Patients With Covid-19 and Comorbidities in Stage III
|
N/A | |
| Completed |
NCT04068272 -
Safety of Bosentan in Type II Diabetic Patients
|
Phase 1 | |
| Completed |
NCT03243383 -
Readmission Prevention Pilot Trial in Diabetes Patients
|
N/A | |
| Completed |
NCT03730480 -
User Performance of the CONTOUR NEXT and CONTOUR TV3 Blood Glucose Monitoring System (BGMS)
|
N/A | |
| Recruiting |
NCT02690467 -
Efficacy, Safety and Acceptability of the New Pen Needle 34gx3,5mm.
|
N/A | |
| Completed |
NCT02229383 -
Phase III Study to Evaluate Safety and Efficacy of Added Exenatide Versus Placebo to Titrated Basal Insulin Glargine in Inadequately Controlled Patients With Type II Diabetes Mellitus
|
Phase 3 | |
| Completed |
NCT06181721 -
Evaluating Glucose Control Using a Next Generation Automated Insulin Delivery Algorithm in Patients With Type 1 and Type 2 Diabetes
|
N/A | |
| Recruiting |
NCT04489043 -
Exercise, Prediabetes and Diabetes After Renal Transplantation.
|
N/A | |
| Completed |
NCT03542084 -
Endocrinology Auto-Triggered e-Consults
|
N/A | |
| Completed |
NCT02229396 -
Phase 3 28-Week Study With 24-Week and 52-week Extension Phases to Evaluate Efficacy and Safety of Exenatide Once Weekly and Dapagliflozin Versus Exenatide and Dapagliflozin Matching Placebo
|
Phase 3 | |
| Recruiting |
NCT05544266 -
Rare and Atypical Diabetes Network
|
||
| Completed |
NCT01892319 -
An International Non-interventional Cohort Study to Evaluate the Safety of Treatment With Insulin Detemir in Pregnant Women With Diabetes Mellitus. Diabetes Pregnancy Registry
|
||
| Completed |
NCT05031000 -
Blood Glucose Monitoring Systems: Discounter Versus Brand
|
N/A | |
| Recruiting |
NCT04039763 -
RT-CGM in Young Adults at Risk of DKA
|
N/A | |
| Recruiting |
NCT03462420 -
Physiotherapy Program for Managing Adhesive Capsulitis in Patients With Diabetes
|
N/A | |
| Active, not recruiting |
NCT03607617 -
ASCEND: ApproacheS to CHC ImplEmeNtation of SDH Data Collection and Action
|