Insulin is responsible for a significant number of prescribing errors within the NHS despite this being listed as a ‘never event’ in 2011/12. In fact, the national diabetes in patient audit suggests that errors occur in one third of hospital patients.

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The patient with diabetes presenting with a hot foot is not an uncommon event for all health care professionals, based in either primary or secondary care and whether they have an interest in diabetes or not. There does seem to be a knee jerk reaction to these patients where infection is considered as the only likely cause yet failure to respond to antibiotics does not always ring alarm bells of another chronic and serious condition, the Charcot foot.

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