Is there a role for TENS application in the control of diabetes mellitus in insulin-dependent patients?
Singapore medical journal
;
: e249-50, 2012.
Artículo
en Inglés
| WPRIM
| ID: wpr-335497
ABSTRACT
An 80-year-old man with insulin-dependent diabetes mellitus presented to the hospital with low back pain. He was initially managed with non-steroidal anti-inflammatory drugs, tramadol and epidural steroid injection. Transcutaneous electrical nerve stimulation (TENS), applied on the back and buttocks, was subsequently advised. Initially, TENS was applied once every 24 hours. On improvement of pain symptoms, it was increased to thrice every 24 hours. The patient then complained of symptoms of hypoglycaemia (blood sugar level < 4 mmol/L). Discontinuation of TENS resulted in raised blood sugar level. When TENS was restarted, the same hypoglycaemic response was noted. The insulin dosage was adjusted to half of the patient's routine daily requirement with continued application of TENS. This incidental finding has alerted us to hypoglycaemic episodes following TENS application, which may be due to effective pain control, decreased sympathetic stimulation, enhanced insulin sensitivity or altered muscle metabolism due to electrical stimulation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Terapéutica
/
Antiinflamatorios no Esteroideos
/
Estimulación Eléctrica Transcutánea del Nervio
/
Resultado del Tratamiento
/
Dolor de la Región Lumbar
/
Usos Terapéuticos
/
Complicaciones de la Diabetes
/
Diabetes Mellitus Tipo 1
/
Manejo del Dolor
/
Hipoglucemia
Límite:
Anciano
/
Aged80
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Singapore medical journal
Año:
2012
Tipo del documento:
Artículo
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