title: Hypoglycemic convulsions cause serious musculoskeletal injuries in patients with IDDM.
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 self-management.
authors.affiliation: Diabetic Department, Royal Infirmary of Edinburgh, Scotland, United Kingdom.
authors.forename: D A
authors.initials: DA
authors.lastname: Hepburn
authors.forename: J M
authors.initials: JM
authors.lastname: Steel
authors.forename: B M
authors.initials: BM
authors.lastname: Frier
mesh_terms: D000293:Adolescent; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000188:drug therapy*; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000139:chemically induced / Q000150:complications*; D007328:Insulin / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012640:Seizures / Q000150:complications*; D012783:Shoulder Dislocation / Q000209:etiology*
chemical_list: D007328:Insulin