When a diabetic patient has a wound and has poor glycemic control, Dr. Shehla Ebrahim, our experienced physician, has found that bringing down the glucose level can improve the healing process.
According to the Canadian Diabetes Association, one in three Canadians will have diabetes or prediabetes by 2020. Currently every hour of every day more than 20 people are diagnosed with the disease.
There is a linear relationship between blood glucose and wound healing. Although researchers have looked at the impact of age, gender, and baseline wound size, studies have found that A1C is a better biomarker to predict healing.
What is A1C?
It is a test–a single, practical measure of average blood glucose–to help diagnose people with diabetes or those at risk of developing diabetes. The Canadian Diabetes Association’s current recommendations are that people with an A1C level of 6.5% or greater will be diagnosed with diabetes and those with an AIC level of 6.0-6.4 % will be diagnosed with prediabetes.
Glycemia, as measured by A1C, was significantly linked with wound-area healing rate. For every 1.0% elevation in A1C, the rate of healing fell by 0.028 cm2.
Given the importance of accurate A1C measurements in wound healing, Dr. Ebrahim cautions patients to be aware of other factors that may interfere with capturing accurate measurements. Medications such as ribavirin and interferon-alpha and supplements like Vitamin E can falsely reduce hemoglobin A1C. Anemia and kidney disease can also interfere with accurate measurements.
Dr. Ebrahim encourages eating a healthy, balanced diet, getting out every day to move your body, and enjoying quality time with family and friends.
For more information about glucose and how it affects wound healing, please contact our office today. We can answer questions and help you schedule a complimentary consultation.