Up and Down


What do a swollen leg, a box of sweets, and a holiday in India have in common? Can you guide Mrs Patel to recovery?

  1. "Somogyi effect"
  2. Diabetic foot osteomyelitis
  3. Glycemic control in the in-ward setting
  4. Hyperosmolar hyperglycemic state (HHS)
  5. Hypoglycemia
  1. Diabetes Care [Online] January 2014vol. 37 no. Supplement 1 S14-S80 [viewed on 28th April 2014] doi: 10.2337/dc14-S014
  2. LIPSKY BA, BERENDT AR, CORNIA PB, PILE JC et al. Executive summary: 2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clin Infect Dis. [Online]2012 Jun;54(12):1679-[viewed on 28th April 2014] doi: 10.1093/cid/cis460.
  3. RYBICKA M, KRYSIAK R, OKOPIEN B. The dawn phenomenon and the Somogyi effect -two phenomena of morning hyperglycemia.Polish Journal of Endocrinology.Volume 62; Numer/Number 3/2011ISSN 0423-104X
  4. The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus. Inpatient Management Guidelines. NHS. March 2010 [viewed 28 April 2014] Available from: https://www.diabetes.org.uk/Documents/About%20Us/Our%20views/Care%20recs/Joint%20British%20Diabetes%20Societies%20Inpatient%20Care%20Group%20-%20The%20Hospital%20Management%20of%20Hypoglycaemia%20in%20Adults%20with%20Diabetes%20Mellitus.pdf
  5. The management of hyperosmolar hyperglycemic state in adults with diabetes. Inpatient management guidelines. NHS. August 2012. [viewed 28 April 2014]. Available from http://www.diabetes.org.uk/Documents/Position%20statements/JBDS-IP-HHS-Adults.pdf