This is online E log book to discuss our patient’s de-identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patients’ clinical problems with collective current best evidence-based inputs. A 45year old male patient, resident of AP lingotam, was presented to the casualty with chief complaints of CHIEF COMPLAINTS Excessive sweating for 1 day Altered sensorium for 1 day HISTORY OF PRESENTING ILLNESS the patient was apparently asymptomatic 10 years ago when he was diagnosed with DM. Since then he is on medication, OHAs. 6years ago, he developed an ulcer on his left foot, little toe, which got infected.it became gangrenous because of which they amputated the little toe. 8 months ago he developed similar leisons again in left foot and 4th toe was amputated. 3 months back, the patient was pricked by a thorn