A comparative study between topical short and long-acting insulin preparations in management of wounds in diabetic patients

Ahmed, Al-Shaimaa; Mansour, Heba; Ali, Radwa; Abdel-mawla, Ahmed Kamal

doi:10.21608/jabps.2021.87156.1134

A comparative study between topical short and long-acting insulin preparations in management of wounds in diabetic patients

Document Type : Original Article

Authors

¹ Department of Pharmacology and Toxicology,Faculty of Pharmacy, Minia University, Minia

² Pharmaceutics Departments, Minia university

³ Clinical Pharmacy Department, Faculty of Pharmacy, Minia University

⁴ General surgery department, Faculty of Medicine, Minia University

10.21608/jabps.2021.87156.1134

Abstract

Wounds of diabetic patients often require weeks of adequate and appropriate care for full recovery. The use of systemic insulin in diabetic patients was reported to enhance wound healing. Thus, the present study was conducted to evaluate the effect of topical insulin on diabetic wounds. Our objective was to compare the effectiveness of topical short and long acting insulin combined with standard wound dressings in healing of wounds in diabetic patients. Thirty adult patients of both sexes from the outpatient settings of the General and Plastic surgery wards at Minia University Hospital were included in the study. Patients were assigned into three groups; control, patients applying short acting insulin and those applying long-acting insulin. The wounds were compared for healing time, inflammation and pain at days 0, 14, and 21. The mean age of patients included in the study was 58.9±5.3 years. The unit healing time for diabetic control group was 25.1±22.9 which was significantly higher than the two other groups (10.02±5.4 and 5.1±2.4, respectively) with no significant difference between topical short and long-acting insulin applying groups. Upon scoring of wounds, the long acting score of the short acting insulin was significantly lower than the control group at day 14 (p=0.001) while both topical insulin groups showed significantly reduced scores at day 21 compared to the control group (p=0.001 and p=0.009 for short and long-acting insulin, respectively). Both topical insulin treatments resulted in an acceleration of the wound healing process with no significant difference between short and long-acting insulin.

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