Up and Down
Released on 05/06/2014
What do a swollen leg, a box of sweets, and a holiday in India have in common? Can you guide Mrs Patel to recovery?
Key Learning Points
- "Somogyi effect"
- Glycemic control in the in-ward setting
1. Diabetes Care [Online] January 2014vol. 37 no. Supplement 1 S14-S80 [viewed on 28th April 2014] doi: 10.2337/dc14-S014
2. The Hospital Management of Hypoglycaemia in Adults with Diabetes Mellitus. Inpatient Management Guidelines. NHS. March 2010 [viewed 28 April 2014] Available from:
3. The management of hyperosmolar hyperglycemic state in adults with diabetes. Inpatient management guidelines. NHS. August 2012. [viewed 28 April 2014]. Available from
4. 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.
5. 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