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Rising HbA1c in the presence of optimal glycaemic control as assessed by self-monitoring - iron deficiency anaemia.

Mudenha, Emily; Aarella, Vikram; Chandrasekaram, Senthil; Fernando, Devaka (2016-02)

HbA1c can be affected by determinants other than glucose and an awareness of this is important to avoid unnecessary hypoglycaemia.

Hypoglyceamia in a patient with a solitary fibrous tumour.

Okpe, Andrew; Ramsay, Kerri; Fernando, Isuru; Fernando, Devaka; Mudenha, Emily (2016-04)

Objective: To illustrate an unusual mechanism causing hypoglycaemia. Material and methods: A 76-year-old man presented with episodes of agitation and confusion and was resuscitated with oral glucose gel when found to be ...

Acute Transient Stress Induced Adrenal Hypertrophy and Adrenal Medullary Hyperactivity.

Aarella, Vikram; Fernando, Devaka; Mudenha, Emily; Okpe, Andrew (2015)

Objectives: Adrenal gland hypertrophy can be related to acute stress with abnormal adrenal function tests. It may not always need treatment. Material and methods: An acute presentation of adrenal gland hypertrophy following ...

Dysautonomia: An explanation for the medically unexplained?

Chandrasekaram, Senthil; Aarella, Vikram; Mudenha, Emily; Fernando, Devaka (2016)

Objective: To identify dysautonomia as a collection of conditions with variable presentation that may be mistaken for medically unexplained symptoms. Methods: Case series. Results: Tilt table testing and 24 h electrocardiographic ...