cortisone injection Type 2 Diabeted

Stevem

Member
Relationship to Diabetes
Type 2
I am in need of a cortisone injection in my shoulder. My hba1c level has risen to 85 as not able to exercise. What alternatives do I have?
Currently on Metformin, Glycaside, empagliflozin
 
I am in need of a cortisone injection in my shoulder. My hba1c level has risen to 85 as not able to exercise. What alternatives do I have?
Currently on Metformin, Glycaside, empagliflozin
Welcome
You are on a fair bit of medication, what is your diet like.
Diet will make as much difference as exercise.
 
I am in need of a cortisone injection in my shoulder. My hba1c level has risen to 85 as not able to exercise. What alternatives do I have?
Currently on Metformin, Glycaside, empagliflozin
Hopefully a few minor changes will be enough to reduce your Hba1c to under 80

I see you say you’re unable to excercise, may I ask why this is ?
also what kind of things are you currently eating & you say your Hba1c has risen to 85
what was it previously?

hopefully you can soon make the necessary change, and get the injections you need
I appreciate it’s not nice when you can’t get these kind of injections and your probably in pain :(

Myself I had 3 steroid injections (in my ankle) a few years ago, the first 2 were a great help
but on attempting the third he declined the ankle was by then so riddled with arthritis, gave up and my only option then was surgery and had that ankle fused last year
 
My usual exercise is down at the allotment. Unfortunately the bad upper arm messed up my balance so makes me susceptible to falls.
Some years ago, I reduced plate sizes and only eat what I need.
My hba1c has never been below 68 and usually fluctuates between 72 and 85. If it rises to 85 I exercise more to bring it down.
Way back I have had results of over 100. This was brought down to the 70's through my excellent nurse at the time. Through fingerprint tests I found the rise was overnight when the body went into fasting mode and created fructose which has the same effect as increased glucose. One more metformin at night solved the problem.

The constant waiting in NHS queues is frustrating. I have used private physio but he says this is limited and I need an injection.

3 weeks wait to see specialist who may put me in insulin though never wanted to go down the insulin route.

Sorry to hear about your problems bit thank you for replying.

Steve
 
Welcome
You are on a fair bit of medication, what is your diet like.
Diet will make as much difference as exercise.
Some years ago, I reduced plate sizes and only eat what I need. Diabetic dietician said I was OK.
Since I only need to drop by about 5, I am surprised I can't take the risk as the rise in sugar levels is only a small amount for a very short time. Better than living my life in this crippled fashion for the last 3 months and possible the next 3 months. (as you know hba1c measures the average over a 3 month period)

Steve
 
My usual exercise is down at the allotment. Unfortunately the bad upper arm messed up my balance so makes me susceptible to falls.
Some years ago, I reduced plate sizes and only eat what I need.
My hba1c has never been below 68 and usually fluctuates between 72 and 85. If it rises to 85 I exercise more to bring it down.
Way back I have had results of over 100. This was brought down to the 70's through my excellent nurse at the time. Through fingerprint tests I found the rise was overnight when the body went into fasting mode and created fructose which has the same effect as increased glucose. One more metformin at night solved the problem.

The constant waiting in NHS queues is frustrating. I have used private physio but he says this is limited and I need an injection.

3 weeks wait to see specialist who may put me in insulin though never wanted to go down the insulin route.

Sorry to hear about your problems bit thank you for replying.

Steve
There may be some exercise you can do, there are some seated exercises on the NHS web site but something like a under desk cycle or treadmill where you can hold on whilst walking.
Have you tried any exercises for your shoulder, I have arthritis and some rotator cuff damage and found a chiropractor improved them and also the exercises the NHS physio gave me. I do have good mobility in the shoulders and not much pain during the day but at night they are agony. The physio did not think the steroid injections would help.
I also find walking challenging as I had a knee injury and it not really quite right even after 3 years. Now the walking is only what I need to do rather than going for a walk which I used to do regularly.
 
Yes, before and after bed, laying on my back, raise my left arm above my head 10 times. Physio said not to do anymore. (he was right, tried it with more and was not able to get any physio treatment for two week).
Looking for a quicker solution really.
Once my shoulder is unlocked I can do normal exercise.
Thanks for responding though.

Sorry about your knee. I have weak ankles which makes the later balancing problems worse.

Tried a deep tissue Massager but can't use it around the back of my neck where the problem has spread to.

Steve
 
Yes, before and after bed, laying on my back, raise my left arm above my head 10 times. Physio said not to do anymore. (he was right, tried it with more and was not able to get any physio treatment for two week).
Looking for a quicker solution really.
Once my shoulder is unlocked I can do normal exercise.
Thanks for responding though.

Sorry about your knee. I have weak ankles which makes the later balancing problems worse.

Tried a deep tissue Massager but can't use it around the back of my neck where the problem has spread to.

Steve
I had a rotator cuff injury and was in agonising pain for 6 months due to scar tissue forming across the joint. I was doing physio through all this, just didn’t help. The injection was like magic, he used the needle to break all the scar tissue at the same time and never had problems since then. (10 years)
 
Yes, before and after bed, laying on my back, raise my left arm above my head 10 times. Physio said not to do anymore. (he was right, tried it with more and was not able to get any physio treatment for two week).
Looking for a quicker solution really.
Once my shoulder is unlocked I can do normal exercise.
Thanks for responding though.

Sorry about your knee. I have weak ankles which makes the later balancing problems worse.

Tried a deep tissue Massager but can't use it around the back of my neck where the problem has spread to.

Steve
Have you tried a TENS machine. Heat packs, cold packs, Kinesiology tape, Voltorol, Ibuleve, FlexiSeq, a shoulder massager, various exercises, tried them all.
I suppose each one made a miniscule difference.
I do church bell ringing and thankfully it is not any worse when I have been ringing than not.
 
I had a rotator cuff injury and was in agonising pain for 6 months due to scar tissue forming across the joint. I was doing physio through all this, just didn’t help. The injection was like magic, he used the needle to break all the scar tissue at the same time and never had problems since then. (10 years)
Sounds great. Must get these blood sugars down. Breaking up the scar tissue seems brilliant.

Thank you

Steve
 
Have you tried a TENS machine. Heat packs, cold packs, Kinesiology tape, Voltorol, Ibuleve, FlexiSeq, a shoulder massager, various exercises, tried them all.
I suppose each one made a miniscule difference.
I do church bell ringing and thankfully it is not any worse when I have been ringing than not.
No, will look up TENS machine. Tried cold gel pack and hot water bottle but they slide off.
I see the orthopedic dept tomorrow and the diabetes specialist Oct 7th.
I would have thought for the small increase in blood sugars for a very short period it would be worth taking the risk with the injection. Happy to sign a non prosecution agreement if that is what it is called.
 
Have you tried a TENS machine. Heat packs, cold packs, Kinesiology tape, Voltorol, Ibuleve, FlexiSeq, a shoulder massager, various exercises, tried them all.
I suppose each one made a miniscule difference.
I do church bell ringing and thankfully it is not any worse when I have been ringing than not.
I am really missing my playing guitar and singing at the acoustic session for around 3 months. Wish the NHS could be more focused.
 
No, will look up TENS machine. Tried cold gel pack and hot water bottle but they slide off.
I see the orthopedic dept tomorrow and the diabetes specialist Oct 7th.
I would have thought for the small increase in blood sugars for a very short period it would be worth taking the risk with the injection. Happy to sign a non prosecution agreement if that is what it is called.
The gel pack I have slips inside a sleeve with long velcro type webbing so you can wrap it round the limb or joint and it is held in place, put in the freezer for cold or microwave or in boiling water for hot. I'm sure it was from Amazon but can't just see the exact one just now.
 
The gel pack I have slips inside a sleeve with long velcro type webbing so you can wrap it round the limb or joint and it is held in place, put in the freezer for cold or microwave or in boiling water for hot. I'm sure it was from Amazon but can't just see the exact one just now.
Mine can be heated too but no sleeve to hold it on. Perhaps I can get a separate one. It was from Boots.
 
What about acupuncture and massage at an osteopath? It’s not cheap but worth it. I’ve had two frozen shoulders, different times thank goodness, then got bursitis in them. I did have steroid injections too, the ones that the NHS physiotherapist did didn’t help but the one I got at the hospital by a consultant orthopaedic surgeon, it hurt like hell, but it was almost an instant cure. If I was you I would try your very hardest to reduce your hba1c as it will be worth it in the end.
 
What about acupuncture and massage at an osteopath? It’s not cheap but worth it. I’ve had two frozen shoulders, different times thank goodness, then got bursitis in them. I did have steroid injections too, the ones that the NHS physiotherapist did didn’t help but the one I got at the hospital by a consultant orthopaedic surgeon, it hurt like hell, but it was almost an instant cure. If I was you I would try your very hardest to reduce your hba1c as it will be worth it in the end.
 
Not quite sure of the difference between my private physio and osteopath.
I see the orthopedic department tomorrow but suspect they will have the same criteria re hba1c level.
I was reducing my hba1c level using the gym and exercise at the Allotment. That reduction stopped with the shoulder/arm problems.

I was surprised and disappointed that the hba1c level was exactly the same as 3 months ago.

Thank you for the advice

Steve
 
Hi @Stevem, I'm having probs bringing my bgls down, so I'm currently taking Rybelsus. Only been on them for 9days but my bgls are already showing signs of reducing. Of course I've had to adjust my diet accordingly as well ~ and trying to do some exercise that my body will allow.
Imho i think you need to reduce your intake of Carborhydrates in order to reduce your HbA1c and drink at least 2 ~ 3ltrs of water per day. Well done for reducing plate size. Size does matter!!!

I've suffered bad pain in my right knee for a number of years, more so at night and have cortisone (steroid) injections from time to time, to ease the pain. Recently though I bought a pack of herbal pain relief patches, recommended to keep them on for 6 ~ 8 hours at a time, which I do. I can honestly say they're working like magic!! I'm wondering if herbal pain relief patches would work for you?

Good luck anyway in your quest to lower your HbA1c
WL
 
Imho i think you need to reduce your intake of Carborhydrates in order to reduce your HbA1c and drink at least 2 ~ 3ltrs of water per day. Well done for reducing plate size. Size does matter!!!

I think that might be quite a fruitful approach, based on what I’ve seen from many of our T2 members over the years - reduced plate size will be helping for sure, but perhaps tweaking the proportion of foods on the plate may help further without leaving you starving hungry - slightly reducing portions of bread, potatoes, rice, pasta, cereals, grains, and baked goods, while increasing proteins and leafy veg, along with ‘good fats’ may help to rebalance things?

Steroids have a reputation for pushing BGs skywards, so I can see why they are concerned to get your levels down a little before adding steroids into the mix.

And huge sympathies about your lack of guitar. I was lucky in that my frozen shoulders didn’t stop me playing while they gradually resolved on their own. 2+ years unable to play regularly would have been tough going.
 
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