A novel effective integrated approach to heal Diabetic foot Ulcer and possibly avoid amputation - A case report

Abstract

A diabetic foot ulcer (DFU) is a debilitating and severe manifestation of uncontrolled and prolonged diabetes. It presents as ulceration, usually on the plantar aspect of the foot. This case report presents a novel holistic approach that leverages the strengths of both conventional and Ayurvedic medicine. Aloe Vera, known for its miraculous benefits in Ayurvedic medicine, is used here, along with conventional medicine, to heal a DFU. The patient was a known case of diabetes mellitus, brought to the health centre in a seriously ill condition with >550mg/dl random blood sugar (RBS) levels recorded in a glucometer. Maggots present in the ulcer were removed using hydrogen peroxide (H₂O₂), followed by adequate wound debridement. The treatment started with Insulin for four days, followed by oral intake of T. Metformin daily. In addition, diet control of blood sugar was done along with intermittent administration of an antibiotic injection. Ceftriaxone and Sulbactam were administered. Wound dressing was performed using Aloe Vera gel collected directly from the plant's inner leaf gel. With regular wound care, the healing process improved, and tissue regeneration was observed. The patient's RBS levels were reduced to 200-350 mg/dl. This case demonstrates that a holistic approach combining Ayurveda and conventional medicine can facilitate diabetic wound healing and reduce amputation rates and complications related to amputation.