Introduction: Diabetes mellitus is one of the most important health issues
worldwide. The rising incidence of the disease has resulted in a parallel increase of complications
such as diabetic foot ulcers (DFU). It is estimated that 25% of patients with
diabetes will develop foot ulcers over a lifetime. In Mexico, this lifetime incidence is
about 40% to 50%, and 20% of the cases will require amputations. DFU can result in
staggering financial burdens for the healthcare system and the patient. Therapies that
promote rapid and complete healing and reduce the need for expensive surgical procedures
would impact these costs substantially.
Method: Cu/TiO2–SiO2 nanoparticles were synthesized by T. López et al. sol-gel patented
method. After synthesis, they were characterized using transmission electron microscopy
(TEM) and X-ray diffraction. Then, they were embedded in a polymeric gel matrix.
The Cu/TiO2–SiO2 nanogel was used as conservative therapy for a chronic nonhealing
DFU on a 62-year old female with several comorbidities and chronic complications
of diabetes. Wound debridement was performed prior to nanogel administration.
The nanogel was applied over the ulcer on alternate days for an initial period of 2 weeks
and then continued for 10 months.
Results: Significant improvement was observed in the wound healing process since the
first applications. The infection was limited and tissue regeneration was enhanced until
complete healing of the ulcer.
Conclusion: Cu/TiO2–SiO2 nanogel therapy enhanced reepithelialization and healing of
the DFU. The successful outcome allowed to avoid the amputation that was proposed for
Keywords: diabetic foot ulcer, diabetic foot disease, nanomedicine, catalytic nanomedicine, Cu/TiO2-SiO2 nanoparticles, case report, nanobiomaterials, nanobiocatalyzers
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