To study the significance of glycosylated haemoglobin on wound healing in patients with diabetic foot.

Abstract

Introduction: Diabetes is a major health problem which is currently showing an alarming increase in its incidence and prevalence. Diabetic foot ulcers are a predominant complication of the disease. This has led to a growing interest in corelating HbA1c to wound healing in the management of diabetic foot ulcers.

Objectives: To correlate the influence of level of Glycosylated Haemoglobin on wound healing.

Methods: The study focused on assessing the clinical characteristics, treatment outcomes, and the correlation between proper glycaemic control (HbA1c) and the healing of diabetic foot ulcers (DFUs) in a population of diabetic patients in a single centre. The parameters which were explored included significant correlations between key clinical indicators, such as HbA1c levels, wound healing duration. 100 patients with diabetic foot ulcers were selected.

Results: The study found that the majority of participants were male (78%) and with a mean age of 61.48 years. A significant proportion of participants (59%) had Wagner Grade 2 ulcers. Poor glycaemic control, indicated by higher HbA1c levels, was strongly correlated with prolonged healing times, highlighting the importance of glycaemic management in DFU care.

Conclusions: The present study reaffirms the critical role of glycaemic control in managing diabetic foot ulcers. Higher HbA1c levels were associated with delayed healing, underscoring the need for aggressive management to improve wound healing. The study emphasizes the need for a comprehensive approach to managing diabetes incorporating strict glycaemic control, patient education and regular follow-up are necessary to enhance treatment outcomes and quality of life for diabetic patients.