Impaired wound healing in diabetes
Laura Swoboda, Jessica Held
Abstract
Impaired wound healing for patients with diabetes is due to a constellation of structural, biochemical, cellular and microbial factors. Hyperglycaemia and its associated inflammation contribute to immune dysfunction, vascular damage, neuropathy, cellular senescence, impaired transition beyond the inflammatory stage, microbiome disruptions, failed extracellular matrix formation, growth factor and cytokine imbalance, limited re-epithelialisation, and alterations in fibroblast migration and proliferation. Optimising glycaemic control remains the primary intervention to prevent continual dysfunction and comorbid disease progression.
Topics & Concepts
MedicineInflammationWound healingDiabetes mellitusImmune DysfunctionImmune systemCytokineExtracellular matrixCellular senescenceMicrobiomeDiseaseImmunologyBioinformaticsPathologyEndocrinologyPhenotypeCell biologyChemistryBiochemistryGeneBiologyWound Healing and TreatmentsDiabetic Foot Ulcer Assessment and ManagementPressure Ulcer Prevention and Management