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Hypoglycemic Convulsions Cause Serious Musculoskeletal Injuries in Patients With IDDM

  1. David A Hepburn, MRCP,
  2. Judith M Steel, FRCP and
  3. Brian M Frier, FRCP
  1. Diabetic Department, Royal Infirmary of Edinburgh Edinburgh, Scotland, United Kingdom
  1. Address correspondence and reprint requests to D.A. Hepburn, Diabetic Department, Royal Infirmary of Edinburgh, Edinburgh EH3 9YW, Scotland, UK.

Abstract

Six diabetic patients are described who sustained serious musculoskeletal injuries during insulin-induced hypoglycemia. The convulsions were associated with nocturnal hypoglycemia, superoptimal glycemic control, pregnancy, hypoglycemic unawareness, or errors in selfmanagement.

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