TY - JOUR T1 - Hot water bottles and diabetic patients — a cautionary tale JF - British Journal of General Practice JO - Br J Gen Pract SP - 222 LP - 223 VL - 55 IS - 512 AU - Rajive Mathew Jose AU - Ramesh Vidyadharan AU - Deb Kumar Roy AU - Matt Erdmann Y1 - 2005/03/01 UR - http://bjgp.org/content/55/512/222.abstract N2 - Diabetic patients with peripheral neuropathy are advised by their neurologist or GP to be cautious while handling sharp and hot objects, as they are prone to accidental burns to their insensate body parts. About three-quarters of thermal injuries result from the victim's own actions.1 However, many of these patients use hot water bottles in winter to warm their feet. Prolonged contact with these bottles can lead to severe thermal injuries, and we recently encountered two such patients over a span of 3 days who sustained deep burns to their feet, which required hospitalisation. Doctors treating diabetic patients with peripheral neuropathy need to advise patients about this practice.The first patient was a 55-year-old man with non-insulin-dependent diabetes mellitus, who was taking metformin and rosiglitazone. He also had peripheral neuropathy of both feet. He had been advised about foot care by his GP but had not been warned about contact with hot objects. He used a … ER -