Title: Nexus between glucose variability and healing rate in patients with diabetic foot ulcer
Author: Dilip Kumar Kandar
DOI: https://dx.doi.org/10.18535/jmscr/v7i7.17
Abstract
Introduction
It is difficult to manage a case of non-healing diabetic foot ulcer due to persistent long standing local infection and microvascular defects. Despite the availability of best of the resources in management of diabetes and diabetes foot ulcers, amputations are still performed quite often1.
To the best of our knowledge there are very few papers assessing the impact of glycemic variability on healing of diabetic foot ulcer2.
The author is this case report uses ambulatory glucose monitoring along with intensive blood glucose management for managing 2 complicated cases of non-healing diabetic ulcers
References
- Sobotka L1, Smahelova A, Pastorova J, Kusalova M. A case report of the treatment of diabetic foot ulcers using a sodium hyaluronate and iodine complex. Int J Low Extrem Wounds. 2007 Sep;6 (3):143-7.
- Dhatariya KK, Sin ELW, Cheng JOS, Li FYN, Yue AWY, Gooday C et al. The impact of glycaemic variability on wound healing in the diabetic foot – A retrospective study of new ulcers presenting to a specialist multidisciplinary foot clinic. Diabetes Res ClinPract 2018; 135: 23–9.