Decreased insulin requirements with spinal cord stimulation in a patient with diabetes.
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.


CONCLUSIONS
Spinal cord stimulation when used for control of chronic pain in diabetics may provide additional benefits of improving glycemic control and insulin requirements.
Department of Pain Management, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA. Kapural@ccf.org
Leonardo
L
Kapural
Salim M
SM
Hayek
Michael
M
Stanton-Hicks
Nagy
N
Mekhail
D001786:Blood Glucose / Q000378:metabolism; D002908:Chronic Disease; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000628:therapy*; D003929:Diabetic Neuropathies / Q000150:complications; D004599:Electric Stimulation Therapy; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use*; D008875:Middle Aged; D012019:Reflex Sympathetic Dystrophy / Q000628:therapy; D013116:Spinal Cord / Q000502:physiology*
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin