Title:Current Approaches in Healing of Wounds in Diabetes and Diabetic Foot Ulcers
Volume: 19
Issue: 3
Author(s): Samrat Chauhan, Rishabh Chalotra, Akshay Rathi, Monika Saini, Shweta Deol, Mehak Lard and Sumeet Gupta*
Affiliation:
- M.M College of Pharmacy, Maharishi Markandeshwar (Deemed to be University), Mullana, 133207, Ambala, Haryana
India
Keywords:
Diabetes, wound healing, clinical trials, diabetic wound healing, current treatments.
Abstract:
Background: Diabetes is a chronic disease affecting more than 8.5 % adult population
in the world. Among various issues caused by diabetes, wound healing is a major cause of concern.
Objective: Injuries are most common, and can be caused normally by abrasion, laceration (cuts),
injury, etc. But in diabetes, they do not heal so easily and cause problems. It can be due to a compromised
immune system, neuropathy, poor circulation, infections etc., which could lead to amputation
or even death. Current therapies for the treatment of wound healing in diabetic patients, have
side effects of their own, as there is no particular drug for the healing of wounds.
Methods: Numerous surveys in literature were carried out to reveal the obstacles in diabetic
wound healing and current approaches to its management with emphasis on alternative therapies.
Relevant peer-reviewed research publications were searched through various online bibliographic
databases such as ScienceDirect, PubMed, Scopus, Google Scholar, and ResearchGate (all
English-language articles).
Results: Repurposed drugs include a class of statin, phenytoin, estrogen, and DPP4 inhibitors.
Plants with wound healing activity include Rosmarinus officinalis, Radix Rehmannia, Carica papaya,
Aloe vera, Catharanthus roseus, Punica granatum, etc. have been explored in pre-clinical
studies. Besides these studies, a lot of other studies, including clinical trials, have been performed
for wound healing in diabetes by using different procedures like Honey-dressing, Royal Jelly, Extracorporeal
Shock wave therapy, Manuka honey-impregnated dressing, LeucoPatch system, etc.
Conclusion: In this review, an approach was made to study wound healing in diabetes and various
options that could be best suited for the treatment of wounds in diabetes.