What You Should Know About Nutrition And Wound Healing

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Changes in the skin and its appendages can indicate a nutrient deficit. Note the dry skin.
Changes in the skin and its appendages can indicate a nutrient deficit. Note the muscle wasting of the hands.
A 56-year-old patient with diabetes presented to the wound care team with a dorsal wound that was 80 percent fibrotic with no signs of infection. He also had secondary malnutrition from diabetes. Nutritional changes along with weekly sharp debridements an
Note the tendon coverage and decreased wound size in this photo of the 56-year-old man, which was four months after the initial consult.
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Author(s): 
By Patricia Abu-Rumman, DPM, and Robert A. Menzies, BSc(Hons), MChS, SRCh

Dr. Menzies is a podiatrist in the Diabetic Foot and Wound Clinic at the Hamad Medical Center in Doha, Qatar. He is also the podiatrist for the Qatar National Olympic Committee as he specializes in biomechanics and sports medicine. He is state-registered in the United Kingdom and is a member of the Society of Chiropodists and Podiatrists in the United Kingdom.




References:

References

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13. Stadelmann WK, Digenis AG, Tobin GR; Impediments to Wound Healing; Am J Surg 176(2A): 39S- 47S, 1998.

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15. American Diabetes Association; Nutritional Recommendations and Principles for People with Diabetes Mellitus; Diab Care 20(1S): S43-S46, 2000.

16. Shils ME; Modern Nutrition in Health and Disease; 9th ed, Williams & Wilkins, Baltimore MD 1998.

17. Nutritional Sub-Committee of the Diabetes Care Advisory Committee of Diabetes UK; The Dieticians Challenge: the Implementation of Nutritional Advice for People with Diabetes; J Hum Nutr Dietet 16:421-452, 2003.

18. Galloway P, McMillan DC, Sattar N; Effect of the Inflammatory Response on Trace Element and Vitamin Status; Ann Clin Biochem 37:289-297, 2000.

19. Flanigan KH; Nutritional Aspects of Wound Healing; Adv Wound Care 10(2): 48-52, 1997.

20. Corish CA, Flood P, Kennedy NP; Comparison of Nutritional Risk Screening Tools in Patients on Admission to Hospital; J Hum Nutr Dietet 17: 133-139, 2004.

21. Brown SA, Sharpless JL; Osteoporosis: An Underappreciated Complication of Diabetes; Clin Diab 22(1):10-20; 2004.

22. American Diabetes Association Professional Practice Committee and Executive Committee; Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications; Diab Care (S1): S50-S60, 2002.

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