My friend and I are trying to role play a scene and her character (a detective with diabetes) just dislocated his shoulder. My character is a doctor and I wanted my response to be as medically accurate as possible. Could someone who knows more about diabetes tell me how a trauma like this might affect a person with type 1 diabetes?
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August 31st, 2010 at 1:10 pm
Any trauma to the body will affect a diabetic since infection/injury will play a role in altering your numbers. The trauma plus if you have to take antibiotics if your shoulder gets infected or if you have to take painkillers will also affect your diabetes until this injury is fixed.
August 31st, 2010 at 1:30 pm
The only possible connection between injury and type 1 diabetes is that a significant injury may mildly elevate glucose over a short period of time. The injury in and of itself will not alter long-term diabetic control. Opioids – to treat pain – do not affect blood glucose. It is very rare for a dislocated shoulder to become infected and in fact in the absence of penetration through the skin I am not aware of a single case. Your response as a physician would be very straight-forward and not really affected by this person’s type 1 diabetes. You must obtain adequate pain control in order to ‘reduce’ the shoulder which means to move it back into place. After this the pain should virtually disappear although a few days of anti-inflammatory non-steroidal pain medications may be advised. May the muse of theater make you a master thespian. I wish you the very best of health and in all things may God bless.