Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
Tags: Diabetes | diabetes | wounds | healing | vascular

Can Diabetes Affect Wound Healing?

Monday, 16 Dec 2013 09:21 AM

Question: My A1C score is 5.7 and my 12-hour fasting glucose level varies from 106-133 (average: 120). I am watching my weight, sugar, and carb intake. But recently I've had minor abrasions on both shins which have taken a long time to heal. Are these early indicators of poor circulation due to Type 2 diabetes?


Dr. Hibberd's answer:

Fasting blood sugar of 126 generally indicates the presence of diabetes. What you have is pre-diabetes, if not borderline Type 2 diabetes, so it would be wise for you to follow all the recommendations for diabetic patients.

Be sure your thyroid has been checked and is normal, since under-active thyroid is common in people at risk for diabetes and can cause elevated blood sugar. You should start having annual eye exams, peripheral vascular tests, cholesterol checks, renal, and cardiac evaluations.

Your suspicion that hyperglycemia could be causing your delayed wound healing is probably correct. If your doctor finds evidence that your blood sugar needs to be controlled better, you may be a candidate for preventive management through medication to reduce hyperglycemia, which is associated with premature vascular disease, premature renal failure, and premature vision loss.

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Question: My A1C score is 5.7 and my 12-hour fasting glucose level varies from 106-133 (average: 120). I am watching my weight, sugar, and carb intake. But recently I've had minor abrasions on both shins which have taken a long time to heal. Are these early indicators of...
diabetes,wounds,healing,vascular
193
2013-21-16
Monday, 16 Dec 2013 09:21 AM
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