Kallock Erin, Neher Jon O, Safranek Sarah
Valley Family Medicine Residency, Renton, WA, USA.
J Fam Pract. 2010 Dec;59(12):709-10.
Yes, but the clinical importance is minimal. A single intra-articular steroid injection into the knee produces acute hyperglycemia for 2 or 3 days in patients with diabetes who otherwise have good glucose control (strength of recommendation [SOR]: B, small cohort studies). Intra-articular steroid injections into the shoulder may briefly raise postprandial (but not mean) glucose levels with larger and repeated doses (SOR: C, extrapolated from heterogeneous and mixed cohort studies).
是的，但临床意义极小。对于血糖控制良好的糖尿病患者，膝关节单次关节腔内注射类固醇会导致2至3天的急性高血糖（推荐强度[SOR]：B，小型队列研究）。肩部关节腔内注射类固醇，剂量较大且重复注射时，可能会短暂提高餐后（而非平均）血糖水平（SOR：C，从异质性和混合队列研究推断得出）。
