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There is significant evidence in the literature that diabetic patients are at a higher risk for increased wound infections, wound dehiscence, and pathological scarring. Factors such as nutritional status and glycemic control also significantly influence diabetic wound outcomes. Diabetes is associated with several pathological changes that contribute to poor wound healing.
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Chronic hyperglycemia damages vasculature and hinders proper blood perfusion. Diabetic patients also often exhibit peripheral vascular disease and neuropathy, making wound detection difficult. Slow wound healing and related complications are common in diabetes. Compromised blood circulation and nerve damage are among the causes of delayed recovery in people with diabetes.
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However, there are certain factors that make it more likely youll have healing problems. Despite decades of research, impaired extremity wound healing in type 2 diabetes remains a significant driver of patient morbidity, mortality, and health care costs. Wound healing in diabetes is impaired by factors that are both extrinsic and intrinsic to the biology of wound. The standard treatment of diabetic ulcers includes optimization of glycemic control, extensive debridement, infection elimination, use of moisture dressings, and offloading high pressure.
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