EFFECT ON GLYCEMIC INDEX POST SELECTIVE NERVE ROOT BLOCK IN NEURAL FORAMINAL STENOSIS PATIENTS- PROSPECTIVE STUDY

Abstract

Purpose: To study the effect on glycemic index post selective nerve root block in neural foraminal stenosis patients. The study involved Methods: 30 patients in total from September 2021 to August 2022, we prospectively enrolled patients who matched our inclusion criteria with IVDP, patients having symptoms of radicular pain for at least 3 months, patients with a known history of type I or type II diabetes mellitus. Patients were made to maintain a diary of their daily fasting blood glucose levels one week before after the SNRB. At the end of the last follow-up at 3 months, HbA1c were repeated along with capillary blood glucose. A mean of 135.77 mg/dL and S Results: D of 22.60 mg/dL were blood sugar levels which varies from 78- 204 mg/dl before SNRB. The immediate post-injection glucose levels varied from 78 to 399, with a mean of 216.13 and a SD of 44.19. The average glucose level change was 135.77 ± 80.37, and the range of this change was from 135.77 to 216.13. The estimated duration of the glucose level increase was 3.7 days with a 95% CI. For the rst 2-4 days following injection, there is a noticeable brief spike in blood glucose levels. There was no association between observed glucose level change pre-injection HBA1c levels and 3 months post HBA1c levels after the procedure. Conclusion: Administering steroids in selective nerve root blocks for patients with diabetes mellitus is associated with a transient hyperglycaemic state, which will return to baseline level within 4 days of SNRB injection.