Comparison of insulin soaked dressing with the conventional dressing in diabetic ulcers.

Authors

  • Hafiz Bilal Ahmed Holy Family Hospital, Rawalpindi.
  • Ramlah Ghazanfor Holy Family Hospital, Rawalpindi.
  • Usman Qureshi Holy Family Hospital, Rawalpindi.
  • Usman Akram Islamabad Medical & Dental College.
  • Syed Waqas Hassan Islamabad Medical & Dental College.
  • Naqash Adnan Islamabad Medical & Dental College.
  • Ahmed Mujtaba Malik Brighton and Sussex University, UK.
  • Raheel Ahmad Oxford University London.
  • Sara Malik Holy Family Hospital, Rawalpindi.
  • Jahangir Sarwar Khan Holy Family Hospital, Rawalpindi.
  • Gohar Rasheed Holy Family Hospital, Rawalpindi.
  • Munazzah Aziz Holy Family Hospital, Rawalpindi.
  • Asma Mehr Railway Hospital Rawalpindi.

DOI:

https://doi.org/10.29309/TPMJ/2021.28.07.219

Keywords:

Chronic Wound Care, Foot Ulcer, Insulin Dependent Diabetes Mellitus, Topical Dressings, Wound Healing

Abstract

Objective: This study aims at demonstrating the benefits of insulin soaked dressing for the treatment and accelerating the healing process of diabetic ulcers thus helping the faster wound healing, reducing morbidity and also decrease the cost of management in patients with diabetic ulcers. Study Design: Randomized Controlled Trial. Setting: Surgical Unit 1, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi. Period: November 2016 to May 2017. Material & Methods: The study was initiated after approval from the institutional research forum of Rawalpindi medical college. Patients fulfilling the selection criteria reporting at surgical unit – I, Holy Family Hospital, Rawalpindi were included in the study. Written informed consent was taken. Random allocation of the study participants to either study group was done by using lottery method, 60 patients were randomly allocated to either group A(insulin soaked dressing) or Group B (conventional dressing), each with 30 patients. Results: In Group A, insulin soaked dressing was applied whereas patients in Group B were applied with conventional dressing. Mean age (years) of patients was 48.04+13.45 whereas there were 32 (53.3) male and 28 (46.7) female patients. In the study, mean duration (day) of complete wound healing in patients with diabetic ulcers receiving insulin soaked dressing and conventional dressing was 39.80 + 8.04 and 47.60+6.52 respectively which was statistically significant (p-value 0.000). Conclusion: The study concluded that in patients with diabetic foot ulcer, average duration of complete wound healing was significantly less in patients with insulin soaked dressing as compared to conventional dressing.

Author Biographies

Hafiz Bilal Ahmed, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Senior Registrar

 

Ramlah Ghazanfor, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Senior Registrar Surgery

Usman Qureshi, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Assistant Professor Surgery

Usman Akram, Islamabad Medical & Dental College.

MBBS, FCPS

Senior Registrar

Syed Waqas Hassan, Islamabad Medical & Dental College.

MBBS, FCPS

Senior Registrar

Naqash Adnan, Islamabad Medical & Dental College.

MBBS, FCPS

Senior Registrar

Ahmed Mujtaba Malik, Brighton and Sussex University, UK.

MBBS, FCPS, MRCS

Specialty Registrar

Raheel Ahmad, Oxford University London.

MBBS, FCPS, MRCS

PGT Vascular Surgery

Sara Malik, Holy Family Hospital, Rawalpindi.

MBBS

Registrar

Jahangir Sarwar Khan, Holy Family Hospital, Rawalpindi.

MBBS, FCPS, FRCS, FICS, FACS

Professor Surgery

Gohar Rasheed, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Assistant Professor Surgery

Munazzah Aziz, Holy Family Hospital, Rawalpindi.

MBBS, FCPS

Senior Registrar

Asma Mehr, Railway Hospital Rawalpindi.

MBBS, FCPS

Senior Registrar

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Published

2021-06-10