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Anesth Analg 2004;98:745-746
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000102674.41527.1E

PAIN MEDICINE

Decreased Insulin Requirements with Spinal Cord Stimulation in a Patient with Diabetes

Leonardo Kapural, MD PhD, Salim M. Hayek, MD PhD, Michael Stanton-Hicks, MB BS, and Nagy Mekhail, MD PhD

Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio

Address correspondence and reprint requests to Leonardo Kapural, MD, PhD, Pain Management Center, The Cleveland Clinic Foundation, 9500 Euclid Ave. Desk C25, Cleveland, OH 44195. Address e-mail to Kapural{at}ccf.org

We describe a case of type-2 diabetes mellitus with significant improvement in blood glucose control and significant decrease in insulin requirements after initiation of spinal cord stimulation. We believe that spinal cord stimulation may provide additional beneficial effects in patients with chronic pain and diabetes.

IMPLICATIONS: Spinal cord stimulation when used for control of chronic pain in diabetics may provide additional benefits of improving glycemic control and insulin requirements.




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[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2004 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.