Suggest Treatment For Severe Abdominal Pain While On Glyburide
Also my question id the nerve blocking procedure might be the cause of my high BS. My AIC before I went to the pain doctor was 6.2 but now it is around 8.5 My doctor doubled the dosage from 5 mg to 10 mg BID. I strongly feel the steroidal medication might have contributed to my blood sugar elevation. Moreover my PCP wants me appl;y and try Medical Marijuana for my Ab and rib cage pain. I am against it. Your take on this subject is well appreciated.
I agree with your treating physician.
Detailed Answer:
Hello,
Sorry to learn about your bothersome symptoms.
Of course the cause of the raise in blood sugar during these months has been the corticosteroids treatment.
If you have stopped taking them, than your blood sugar will get back to normal within a few weeks.
If the blood sugar persists high even 2 months after having stopped the corticosteroids then treatment should be changed. One of the main causes that contributes on keeping high the blood sugar is the pain.
The only treatment that can lower the HbA1C level by 2% (from 8.5 to 6.5%) is the insulin. So, I agree with your physician at this point.
Regarding the pain treatment with Marijuana I would agree too if the intensity of the pain is still high, even after nerve ablation and if all other pain killers have failed.
Please do not hesitate to ask if you have still queries.
Wishing you good health,
Kind Regards,
Dr.Mirjeta
Insuline treatment will be periodical.
Detailed Answer:
Welcome back!
The treatment with insuline is meant to be periodic of course, until the effect of corticosteroids is washed out.
Your diabetes has been controlled perfectly with low doses of oral tablets, it means that you are not at the point to start insuline permanently. Of course it is raised by corticosteroids and the pain.
The effect of the steroids in raising the blood sugar within 3 months is tremendous.
You may wait three months to see the effect of dose changing but if the blood sugar persists high i would suggest not to wait that long.
I feel sorry about the rare complication that happened to you and i can imagine how do you feel but now we should think to keep under control the situation.
Pain is also a very important component that we should try to avoid as much as possible, probably a center specialized in treating the pain would be of help. Pain persisting after nerve ablation is rare and needs high qualified specialists in this field.
Wishing you good health!
Regards,
Dr.Mirjeta
Thanks.
Try all available alternatives before deciding for another ablation.
Detailed Answer:
Hello,
It is not bothersome for me dealing with patients.
So, do not hesitate to ask if you have queries.
I can understand your concern regarding to possible side effects of intercostal radio frequency ablation, as you have had the rarest side effects of medical procedures and medications. Really a bad luck!!
Have you talked with the pain doctor to combine 2 or more pain killers?
Before deciding to another interventional procedure i would suggest to combine some pain killers in maximum dose and see the effect.
Than marijuana is the last alternative of noninvasive treatment.
Try to talk in more details about the above each alternative with your treating doctor. But before deciding for an invasive procedure you should be sure that no other alternative is left.
Wish you good luck!
Best wishes,
Dr.Mirjeta