Research Summary
Analyzed using Evidence Intelligence™

10 kHz Spinal Cord Stimulation Improves Glycemic Control and Weight in Diabetic Neuropathy

Last updated August 29, 2026

Key finding

Participants with preimplantation HbA1c >7% achieved clinically meaningful and statistically significant mean reductions in HbA1c of 0.5% (P = 0.031).

This study investigated the long-term effects of 10 kHz spinal cord stimulation on glycemic control and weight in patients with painful diabetic neuropathy, finding significant improvements in HbA1c and body weight.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the long-term effects of 10 kHz spinal cord stimulation on glycemic control and weight in patients with painful diabetic neuropathy, finding significant improvements in HbA1c and body weight.

Clinical relevance

These findings are clinically significant as they suggest that 10 kHz spinal cord stimulation could be an effective treatment option for patients with painful diabetic neuropathy, addressing both pain management and metabolic control. Improved glycemic control can reduce the risk of diabetes-related complications, while weight loss can enhance overall health and quality of life.

Keep in mind

Limited generalizability due to specific population characteristics. Potential for unmeasured confounders affecting outcomes. Short follow-up duration may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

David CK, Brian LL, Michael JJ, et al. Long-term Effects of 10 kHz Spinal Cord Stimulation on Glycemic Control and Weight in Patients with Painful Diabetic Neuropathy. Journal of Pain Research. 2024;17:3063-3074. doi:10.2147/JPR.S463383

Main Effects

Participants with HbA1c >7% achieved a mean reduction of 0.5% (P = 0.031).

Participants with HbA1c >8% achieved a mean reduction of 1.1% (P = 0.004).

A significant mean weight loss of 3.1 kg was observed (P = 0.003).

Mean VAS score for lower limb pain decreased from 7.5 cm to 1.5 cm (P < 0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to 10 kHz Spinal Cord Stimulation (SCS) and Body weight, HbA1c, Mean Reduction in Pain Interference with Sleep, and 1 more.

Primary intervention

10 kHz Spinal Cord Stimulation (SCS)

Primary outcomes

  • Body weight
  • HbA1c
  • Mean Reduction in Pain Interference with Sleep

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 64

2

Related topics

4

Evidence pairs

747

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Related evidence

Evidence topic

Weight Loss

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body weight

10 kHz Spinal Cord Stimulation (SCS) → Body weight

10 kHz Spinal Cord Stimulation (SCS) → Body weight

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

10 kHz Spinal Cord Stimulation (SCS) → HbA1c

10 kHz Spinal Cord Stimulation (SCS) → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mean Reduction in Pain Interference with Sleep

10 kHz Spinal Cord Stimulation (SCS) → Mean Reduction in Pain Interference with Sleep

10 kHz Spinal Cord Stimulation (SCS) → Mean Reduction in Pain Interference with Sleep

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Pain Intensity Score

10 kHz Spinal Cord Stimulation (SCS) → Pain Intensity Score

10 kHz Spinal Cord Stimulation (SCS) → Pain Intensity Score

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • HbA1c levels decreased significantly by up to 1.1%.
  • Participants lost an average of 3.1 kg.
  • Pain intensity reduced by 79.8%.
who this applies

Who this applies to

  • Adults with painful diabetic neuropathy.
  • Patients with poorly controlled diabetes (HbA1c >7%).
keep in mind

Keep in Mind

  • Results may not apply to all diabetic neuropathy patients.
  • Further studies are needed to confirm long-term benefits.
  • The study did not assess effects on quality of life directly.
between the lines

Between the Lines

  • Limited generalizability due to specific population characteristics.
  • Potential for unmeasured confounders affecting outcomes.
  • Short follow-up duration may not capture long-term effects.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on 10 kHz Spinal Cord Stimulation (SCS) and Pain Intensity Score, 10 kHz Spinal Cord Stimulation (SCS) and Body Weight.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does 10 kHz Spinal Cord Stimulation (SCS) improve pain intensity score?

Moderate Evidence

10 kHz Spinal Cord Stimulation (SCS) appears to improve Pain Intensity Score.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Pain Intensity Score

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does 10 kHz Spinal Cord Stimulation (SCS) affect body weight?

Emerging Evidence

10 kHz Spinal Cord Stimulation (SCS) appears to improve Body weight.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does 10 kHz Spinal Cord Stimulation (SCS) improve HbA1c?

Emerging Evidence

10 kHz Spinal Cord Stimulation (SCS) appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does 10 kHz Spinal Cord Stimulation (SCS) improve mean reduction in pain interference with sleep?

Emerging Evidence

10 kHz Spinal Cord Stimulation (SCS) appears to improve Mean Reduction in Pain Interference with Sleep.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Mean Reduction in Pain Interference with Sleep

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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