Diabetic Wounds

A 63-year-old female, with medical history of diabetes mellitus, hypertension, renal failure, and arteriovenous fistula construction, was presented with a diabetic ulcer of left foot under the first metatarsal head. The ulcer deteriorated rapidly under conventional treatment. Amputation had been recommended but was refused by the patient. She consulted Nu Pro Nurse Centre on January 30, 2016 for alternative treatment option.

Majority of slough and biofilm on wound base were removed during the first visit. In the 2nd week, heavy exudate was handled with advanced dressing of high fluid handling capacity, hence dressing could be changed once per day. Bioptron Light Therapy was also prescribed to aid wound healing. In the 13th week, wound size reduced over 80%. Complete wound healing was achieved in the 17th week and amputation was not needed.