The patient was 53 yrs male weighing 104Kg and came with hyperglycemia and toxemia. He was started on titrated doses of human act rapid insulin and antibiotics. Pus was sent for culture and sensitivity. He was investigated and prepared for surgery. Excision of the carbuncle was under taken under intubation general anesthesia. Patient has been discharged now. His blood sugar level is under control and TLC has fallen to near normal. He is getting dressing once daily and is on insulin and antibiotics.