Effects of Local Use of Insulin on Wound Healing in Non-diabetic Patients

Plastic Surgery
Mario Aurelio Martínez-JiménezJesús Martín Sánchez-Aguilar

Abstract

Clinical trials have shown the positive effects of local insulin therapy in the formation of new vessels and fibrosis in acute and chronic diabetic wounds without major adverse effects. The aim of this study was to investigate the effects of local insulin use on wound healing in non-diabetic patients. A randomized, split-plot, double-blind, placebo-controlled trial was conducted. Ten non-diabetic patients with full-thickness acute wounds were recruited (5 due to trauma, 3 to burns, and 2 to pressure). All wounds received standard bedside treatment. Each wound was divided into 2 zones. One side received a standard care plus insulin, while the other received standard care plus injection of saline solution. A biopsy specimen was taken from both sites on days 0 and 14. The amount of blood vessel growth and the percentage of fibrosis were evaluated. A significant difference in the number of new vessels was observed on the insulin-treated site (70.6 [29.21]) compared to saline only (26.5 [34.3]; P < .04). The percentage of fibrosis (insulin 34.7 [28.02] vs saline 27.8 [29.9]) showed no significant difference. No adverse events related to the study occurred. The clinical implications of this study are considerable in terms of the form...Continue Reading

Associated Clinical Trials

Mar 17, 2020·MARIO AURELIO MARTÍNEZ-JIMÉNEZ

References

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Nov 28, 2013·Plastic and Reconstructive Surgery·Mario Aurelio Martínez-JiménezJesús Martín Sánchez-Aguilar
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Citations

Mar 28, 2020·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Jiao Wang, Jixiong Xu
Dec 19, 2020·European Journal of Clinical Investigation·Mario A Martinez-JimenezJose L Ramirez-GarciaLuna
Feb 12, 2020·Peptides·Jorge Berlanga-AcostaRaymond J Playford

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