Volume : VII, Issue : X, October - 2017

Role of Baseline Glycosylated Haemoglobin in healing of diabetic ulcers

George Taliat, Erel A. I. Diaz

Abstract :

 Backgound

Diabetic foot ulcers are one among the most commonly encountered complication of Diabetes Mellitus tackled by the surgical department worldwide. Physicians and surgeons have tried various methods of treatment to reduce the bioburden of diabetic ulcer. In this study we tried to find the co–relation between Baseline Glycosylated Haemoglobin (HbA1c) in the healing process of diabetic ulcers

Materials and methods

A prospective study where sixty adult patients admitted in Father Muller Medical College Hospital, Mangalore with diabetic foot ulcers were studied. Baseline HbA1c of all patients were recorded. Treatments of the ulcers were carried out as per the treating physician. Wounds were routinely examined for size of ulcer in area (cm2) and time taken for wound healing.

Results

Among 60 patients studied the mean time taken for wound healing among patients  group A (with baseline HbA1c of less than 7.5) was 18.26 days. Those in group B (7.5 – 9) was 23.78 days. Group C (9–10.5) was 19.91 days and those above 10.5 in group D was 26.5 days. This showed a statistical significance of p value 0.018. Percentage of decrease in size of ulcer however did not show a correlation to baseline HbA1c. Overall trend of higher HbA1c however did not show any correlation to baseline HbA1c.

 

Conclusion

There was a recorded decrease in time taken for wound healing in patients with HbA1c lower than 7.5; However the statistical significance could not be achieved among the other groups nor did it show a significant correlation with higher HbA1c values. Indicating that baseline HbA1c may not be a good indicator for healing of diabetic ulcers

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

George Taliat, Erel A. I. Diaz, Role of Baseline Glycosylated Haemoglobin in healing of diabetic ulcers, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-10 | October-2017


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