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This article is based on a presentation by Professor Steven Jeffery at the annual Wounds UK conference in Harrogate, on 7 November 2023. Professor Jeffery presented clinical studies on how a bioengineered wound therapy with a porcine urinary bladder matrix (UBM) may facilitate healing of chronic wounds.
Steven LA Jeffery
Medical Director Pioneer Wound Telehealth and Professor of Wound Study, Birmingham City University
John McRobert
Clinical Research Director, Pioneer Wound Telehealth
Key words
- Chronic diabetic wounds
- Urinary bladder matrix
- Macrophages
- Wound healing
- Meeting report
- Wound care services
This meeting report has been funded by an educational grant from Integra
Management, as well as prevention, of wound infection is key in the promotion of the healing process. In India, over one million people are moderately or severely burnt every year, and managing the challenging burn wounds is a daily reality for clinicians in the country. Silver has been used as an antimicrobial in burn wound management for decades and modern advanced dressings can provide safe prevention and management of infection in these cases. This article reports the cases of two adults, an infant and a child with burns, at risk of infection and managed with a Technology Lipido-Colloid non-adherent dressing with silver (TLC-Ag; UrgoTul Ag/Silver). The main benefits observed when using the evaluated dressing in these patients included rapid wound healing but also patient-related outcomes, such as decrease in pain and atraumatic removal.
Dr Venkateswaran
Plastic Surgeon, Jupiter Hospital, Mumbai, India
Dr Ravichander Rao A
Plastic Surgeon, Care Hospital, Hyderabad, India
Dr Krishna Kumar
Plastic, Aesthetics, Burns, Hand and Reconstructive Microsurgeon, Kovai Medical Centre & Hospital, Coimbatore, India
Dr Sankamithra
Consultant Plastic Surgeon, Lakshmi Medical center, Pollachi, India
Key words
- Burns
- Lipido-colloid non-adherent dressing
- Silver
Declarations
All authors have no particular conflicts of interest to declare regarding these cases.
Abstract: Electrical burns represent 5-8% of burns in developed countries (World Heath Organization, 2016). A multidisciplinary approach is required due to the variety and complexity of injuries, which are affected by the intensity of the electrical current, compromised tissues in the patient, and the duration of exposure. This paper presents a patient case and discusses complications to consider. The efficacy, tolerability and safety of recombinant human epidermal growth factor (rhEGF) is discussed together with other considerations and long-term outcomes.
Espitaleta Omaira
Department of Plastic and Reconstructive Surgery, Clínica Cartagena del Mar S.A.S.
Dr Román Carlos
Plastic Surgeon, Clínica General del Caribe
Gaviria N. Ángela María
BSc, MSc Epidemiology, Grupo Biociencias, Institución Universitaria Colegio Mayor de Antioquia
Carrillo B. Carlos Alberto
Epidemiologist, Sociedad Colombiana de Medicina Preventiva
Key words
- Electricai burns
- rhEGF
- Multidisciplinary
Samina Ali
In the UK, people with type 1 diabetes and those with type 2 diabetes managed with multiple daily insulin injections (MDI) meet the eligibility criteria for continuous glucose monitoring (CGM) use. Previous studies have shown that CGM results in improvements in diabetes distress and HbA1c in people with type 2 diabetes on MDI; however, studies in people with type 2 diabetes on pre-mixed insulin regimens have not been published to date. This service evaluation of ten people with type 2 diabetes on twice-daily pre-mixed insulin regimens using the FreeStyle Libre 2 CGM system demonstrates improvements in both diabetes distress scores and HbA1c. Although only a small study, the findings suggest that expanding CGM eligibility criteria to include this patient group may be beneficial.
Citation: Ali S (2024) Impact of Freestyle Libre 2 on diabetes distress and glycaemic control in people on twice-daily pre-mixed insulin. Diabetes & Primary Care 26 : [ Early view publication]
Article points
1. There are limited studies on the use of continuous glucose monitoring (CGM) in people with type 2 diabetes on twice-daily pre-mixed insulin regimens.
2. In this small service evaluation, CGM use was associated with reductions in PAID (Problem Areas In Diabetes) scores of diabetes distress and in HbA1c.
3. Local and national guidelines may need to be amended to include twice-daily pre-mixed insulin in the eligibility criteria for CGM use in people with type 2 diabetes.
Key words
– Continuous glucose monitoring
– Insulin
– Pre-mixed insulin
– Type 2 diabetes
Author
Samina Ali, Advanced Practice Pharmacist, NHS Greater Glasgow and Clyde.