What is the most effective treatment for Bell's palsy among patients with diabetes?
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Patients with Bell's palsy have higher cure rates when treated with oral prednisolone within 72 hours of onset (SOR B, based on a single randomized controlled trial), but it is unclear what effect this therapy would have on patients with diabetes. Intravenous lipo-prostaglandin E1 (lipo-PGE1) may be an alternative to steroid therapy for Bell's palsy that does not effect blood glucose levels. (SOR C, based on a single small cohort study.)
Evidence Based Practice 13(3): 04-05.