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jammer 11-01-2019 03:28

knee pain
 
My Dad has severe diabetes (lots of drugs and insulin).
He is 80.

He has pretty bad knee pain.
He has pain even if he is not moving.
He's had an xray (it didn't show anything) and he has an MRI coming up).
I wonder if it related to his diabetes.
I found this quote:

https://www.caringmedical.com/prolot...joint-healing/

Quote:

Type 2 diabetes has been described as an independent risk factor for osteoarthritis. This means type 2 diabetes can create a toxic non-healing joint environment and causes joint damage and joint erosion by itself, no wear and tear necessary. This means resting or knee braces or “staying off your knee,” will not be beneficial in reversing or even stopping continued knee damage. The reality is one day you most likely are going to sent to knee replacement surgery.
What tests would show if he needs a knee replacement?

itissteve 11-01-2019 03:39

Hi, Jammer.

We're not doctors, but the doctors for the people I know who've had joints replaced pretty much go by the level of damage to the bones and cartilage in the knee. Your dad's diabetes may complicate his treatment but it seems unlikely his knee would be replaced just because he's diabetic. There would have to be serious non-treatable physical damage to the joint first. So that would be x-rays, MRIs, and so on.

akalpita 11-04-2019 14:06

Hi As such there does not seem to be any connection between knee pain and diabetes. (I dis read up a lot) but uncannily i have noticed not once but thrice that whenever my sugar has shot up I also get some issues with the knee. This includes swelling pain and stiffness. These symptoms miraculously reduce when blood sugar goes down. What could be the connection?

itissteve 11-04-2019 14:47

High blood glucose levels encourage water/fluid retention. That would cause swelling. And water weighs about 8 pounds per gallon (approximately one kg per liter if I did the conversion properly) so that's added weight on the joint, too. If the knee joint or associated tendons and ligaments are marginal or already damaged, I could see high blood glucose levels causing problems there.

Cassie2922 11-05-2019 13:07

Quote:

Originally Posted by akalpita (Post 1323305)
Hi As such there does not seem to be any connection between knee pain and diabetes. (I dis read up a lot) but uncannily i have noticed not once but thrice that whenever my sugar has shot up I also get some issues with the knee. This includes swelling pain and stiffness. These symptoms miraculously reduce when blood sugar goes down. What could be the connection?

Last year when my diabetes was out of control, I had three episodes of pain in the back of the knee with swelling. I wore a knee brace for a few weeks until the pain went away. On the third episode I went to the doctor who did my hip surgery and he said he thought it might be a Baker's Cyst. But when I got my blood sugar under control, I never had another problem with that knee. I don't know what the connection is, but I do know that there is one.

akalpita 11-06-2019 09:18

Could it be that high sugar leads to oxidative stress that stimulates inflamatory reaction which is likely affecting the knee?
But then not all diabetics have this problem or have they not noticed the connection?

rsfletcher 11-06-2019 13:14

Interesting thread - occasionally my knee starts to cause me some discomfort but it tends to be random and I just write it off as a result of playing contact sports as a kid. The next time it hurts I will look up my BG readings for the last 24 hours or so - leading up to the pain - to see if there is any correlation.
One thing I did notice, I have dealt with mild carpel tunnel in my right hand for years. It comes from working in front of a computer for the past 25 years. I deal with it by changing positions at my desk on a regular basis - when I got my flu shot last week the carpel tunnel got worse and was bugging me for about 2 days afterward. Wonder if the flu shot had anything to do with that - sugars were running okay ...


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