I’ve been doctoring since last fall with what was eventually diagnosed as adhesive capsulitis or frozen shoulder. I went to physical therapy for a few months and didn’t make much progress in terms of reduced pain or large improvements in range of motion.
The physical therapist recommended that I see my primary care provider for another consult. My provider referred my to a sports medicine specialist and following x-rays and an exam, she gave me the frozen shoulder diagnosis. She thought I would benefit from a corticosteroid steroid injection into my right shoulder joint.
Her theory is that this will give me the opportunity to work the joint, muscles, and soft tissue more fully. She warned however, that if I didn’t put a full effort into the post-injection physical therapy, then when the steroid shot effects wear off, my shoulder would likely feel worse than it does now.
My biggest concern with the steroid injection was the havoc it could create with my blood glucose. I consulted with my diabetes doctor and she said the hyperglycemia would likely be limited to the first three or four days post-injection. I figured I could deal with that and decided to get the cortisone injection.
I had read some comments in a few diabetes online communities and learned that increasing the basal insulin could counteract the increased insulin reisistance that comes from the shot.
I decided to increase all my pump basal rates by 50% or 1.5 times my current basal rates. I did this one hour before the injection and have been pleasantly surprised with the results. I know that this type of thing can easily vary from person to person but I thought I’d share my results. I should also note that I use an automated insulin dosing system that dynamically adjust programmed pump basal rates up and down as needed. This system has actually increased my +50% basal rates even more.
I received my steroid injection at noon yesterday, May 16. I’m especially pleased with my overnight trace that stayed in range and didn’t drive me hypo. Here are the traces from yesterday and today.
Was this just beginner’s luck or have other people had similar results post cortisone injection?
My physical therapy plan is to visit the therapist 2x/week for the first three weeks and then make a decision from there. I’ve got my work cut out for me, but considering my doctor’s warning that things would be worse if I didn’t apply myself, I’m grateful for the opportunity.