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Wound management of diabetic patient

Name: Harinder Dosanjh


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Date: December 17, 2017


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Diabetes is a condition that occurs as a result of the body not effectively using sugar. As of 2030, it is estimated that over 550 million people across the world will have diabetes. Proper control of diabetes can help prevent serious complications; however, failure may lead to serious complications such as patients encountering diabetic wounds. In this essay, it provides an in-depth examination of wound management of diabetic patients.

Wound management

Diabetic wounds fall into three categories that include ischemic, neuropathic, and neuroischemic. Having an understanding of each of these categories is necessary to identify wound infection, progression, and health. The common barriers to wound healing are infections, nutritional deficiencies, wound hypoxia, metabolic disorders, the presence of debris, and inhibitory medication. It is through minimization of these factors that the wound healing agents are going to be effective (Busse, 2016). Diabetes mellitus is considered as a complex metabolic disorder that usually effective wound healing indirectly and directly. Diabetes does cause the alternations in nerve functions, the immune system, and microvasculature.

Lack of identifying the type of wound can result in ineffective wound treatment plan that may cause long-term complications or even amputation. The foot ulcers tend to be the most common wound of diabetic patients. Diabetic patients are usually prone to developing ulcers of the feet because of neuropathy leading to poor wound healing. According to Doupis & Alexiadou (2012), about 60-80% of foot ulcers will heal while 10-15% remains active and 5-24% will lead to the amputation of the lower limb within 6-18 months of the first evaluation. Foot ulcers can be very serious when left untreated. According to Doupis & Alexiadou (2012), between 14 and 24% of people with diabetes and develop ulcers are likely to end up having lower limb amputation. Healing of the wound may be slowed when the patient has diabetes, and it is vital to remember that wound in this people heal slowly, and it can get worse very fast; hence, require close monitoring.

According to Busse (2016), various factors influence would heal in a diabetic patient such as the blood glucose level. The elevated blood glucose level tends to stiffen arteries causing narrowing of blood vessels. As a result, it has major effects including the origin of wounds and also the risk of proper wound healing. The narrowing of the blood vessels leads to a decrease in the blood flow and oxygen to the wound (Khalil et al. 2014). With elevated blood sugar level, it reduces the function of the red blood cells that tend to supply nutrients to tissues. It does lower the efficiency of blood white cell and without sufficient oxygen and nutrients; it is not possible for the wound to heal fast. The main issue with diabetic wounds is delayed healing or poor healing. The healing problems occur as a result of peripheral arterial disease and the peripheral neuropathy that happen with diabetes (Khalil et al. 2014). Some interventions such as ensuring adequate perfusion, glycemic control, and infection control are vital to the management of diabetic patients with chronic wounds.

With management of diabetic wounds, it is vital to note that every wound is a health concern and it requires immediate attention. The best treatment for wounds with diabetic patients is prevention because medical treatment for these would do offer very limited help. In prevention of diabetic wounds, it is essential for patients to ensure an active and normal life. Diabetic wounds can be life-threatening and disable in some case, and it is important to take measures to prevent it (Khalil et al. 2014). However, in the case that wounds happen, a good way of managing them is through ensuring healthy die. Maintaining proper nutrition is primary and can aid in wound healing. Staying active and quitting smoking does help to improve insulin sensitivity, and that helps the sugar to enter the cells more efficiently; thus, promoting health and healing.

Uncontrolled diabetes has a significant impact on wound healing, and diabetic patients must understand the importance of good glucose control in the healing period. Poor control of diabetes does decrease the number and also the availability of small blood vessels that usually contribute to tissue hypoxemia. Glycosylation of protein tends to decrease the number of growth factors and signal proteins available during the inflammatory phase of wound healing (Busse, 2016). The impaired use of glucose does negatively impact fibroblasts and neutrophils; hence, leading to an increased risk of infection and reduction in collagen synthesis.


Diabetic wounds are not the same as any other wounds as they are slow to heal and that makes it challenging for treatment with conventional topical medications. Wound healing is a complicated process that involves skin repair after an injury. Hence, a diabetic wound should be treated holistically so that to determine the underlying issues and also reduce the risk factors that causes the wound in the first place. Management of diabetic wounds is essential considering the negative impact they have on the patient’s quality of life.



Doupis, J & Alexiadou, K (2012) Management of Diabetic Foot Ulcers. Diabetes Therapy 3(1)

Gan, S Islam, A Alam, F & Khalil, I (2014). Honey: A Potential Therapeutic Agent for Managing Diabetic Wounds. Evidence-Based Complementary and Alternative Medicine

Busse, B (2016). Wound management in urgent care. Springer Publishing


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