A comparative study between topical insulin versus normal saline dressings in wound healing in diabetic foot ulcers
Author(s): Dr. Vijay V Kamat and Dr. CG Sunil
Abstract:Introduction: Diabetic foot ulcer (DFU) is the most costly and devastating complication of diabetes mellitus, which affect 15% of diabetic patients during their lifetime. The purpose of this prospective study was to investigate the efficacy and safety of topical insulin in management of patients with diabetic foot ulcers.
Materials and methodology: 74 patients were included in the study. 37 in the group A i.e. topical insulin dressing group & 37 in the group B i.e. normal saline dressing group. Initial wound debridement followed by wound measurements were done on day 1, 7 & 15. Reduction in wound area at end of day15 was compared.
Results: There was statistically significant reduction in the area of ulcer at end of day 15 (p value <0.001).
Conclusion: The use of topical insulin is safe and efficacious in treatment of diabetic foot ulcers.