IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers

Objectives. To investigate insulin-like growth factor I (IGF-1) levels in response to hyperbaric oxygen therapy (HBOT) for diabetic foot ulcers and to determine whether IGF-1 is a predictive indicator of wound healing in patients with diabetic foot ulcers. Design and Methods. We treated 48 consecuti...

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Main Authors: Figen Aydin, Ahmet Kaya, Levent Karapinar, Mert Kumbaraci, Ahmet Imerci, Hasan Karapinar, Cengiz Karakuzu, Mustafa Incesu
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/567834
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author Figen Aydin
Ahmet Kaya
Levent Karapinar
Mert Kumbaraci
Ahmet Imerci
Hasan Karapinar
Cengiz Karakuzu
Mustafa Incesu
author_facet Figen Aydin
Ahmet Kaya
Levent Karapinar
Mert Kumbaraci
Ahmet Imerci
Hasan Karapinar
Cengiz Karakuzu
Mustafa Incesu
author_sort Figen Aydin
collection DOAJ
description Objectives. To investigate insulin-like growth factor I (IGF-1) levels in response to hyperbaric oxygen therapy (HBOT) for diabetic foot ulcers and to determine whether IGF-1 is a predictive indicator of wound healing in patients with diabetic foot ulcers. Design and Methods. We treated 48 consecutive patients with diabetic foot ulcers with HBOT. Alterations of IGF-1 levels in patients whose wound healed with HBOT were compared with those in patients who did not benefit from HBOT. Results. There was no significant difference in initial IGF-1 levels between the two groups (P=0.399). The mean IGF-1 level increased with HBOT (P<0.05). In the healed group, the mean IGF-1 increase and the final values were significantly higher (P<0.05). In the nonhealed group, the mean IGF-1 increase was minus and the final values were not significantly different (P<0.05). The increase in IGF-1 level with HBOT was significantly higher in the healed group (P<0.001). Conclusions. IGF-1 increased significantly in the healed group. We believe that HBOT is effective in the treatment of diabetic foot ulcers, with an elevation of IGF-1. This alteration seems to be a predictive factor for wound healing in diabetic foot ulcers treated with HBOT.
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institution Kabale University
issn 2314-6745
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language English
publishDate 2013-01-01
publisher Wiley
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series Journal of Diabetes Research
spelling doaj-art-aa0a10d0e57f4ace837628ad60feb81b2025-02-03T00:59:40ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/567834567834IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot UlcersFigen Aydin0Ahmet Kaya1Levent Karapinar2Mert Kumbaraci3Ahmet Imerci4Hasan Karapinar5Cengiz Karakuzu6Mustafa Incesu7Neoks Hyperbaric Oxygen Therapy Center, Bornova, 35560 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyNeoks Hyperbaric Oxygen Therapy Center, Bornova, 35560 Izmir, TurkeyDepartment of Orthopaedics and Traumatology, Tepecik Education and Research Hospital, Yenisehir, 35100 Izmir, TurkeyObjectives. To investigate insulin-like growth factor I (IGF-1) levels in response to hyperbaric oxygen therapy (HBOT) for diabetic foot ulcers and to determine whether IGF-1 is a predictive indicator of wound healing in patients with diabetic foot ulcers. Design and Methods. We treated 48 consecutive patients with diabetic foot ulcers with HBOT. Alterations of IGF-1 levels in patients whose wound healed with HBOT were compared with those in patients who did not benefit from HBOT. Results. There was no significant difference in initial IGF-1 levels between the two groups (P=0.399). The mean IGF-1 level increased with HBOT (P<0.05). In the healed group, the mean IGF-1 increase and the final values were significantly higher (P<0.05). In the nonhealed group, the mean IGF-1 increase was minus and the final values were not significantly different (P<0.05). The increase in IGF-1 level with HBOT was significantly higher in the healed group (P<0.001). Conclusions. IGF-1 increased significantly in the healed group. We believe that HBOT is effective in the treatment of diabetic foot ulcers, with an elevation of IGF-1. This alteration seems to be a predictive factor for wound healing in diabetic foot ulcers treated with HBOT.http://dx.doi.org/10.1155/2013/567834
spellingShingle Figen Aydin
Ahmet Kaya
Levent Karapinar
Mert Kumbaraci
Ahmet Imerci
Hasan Karapinar
Cengiz Karakuzu
Mustafa Incesu
IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
Journal of Diabetes Research
title IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
title_full IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
title_fullStr IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
title_full_unstemmed IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
title_short IGF-1 Increases with Hyperbaric Oxygen Therapy and Promotes Wound Healing in Diabetic Foot Ulcers
title_sort igf 1 increases with hyperbaric oxygen therapy and promotes wound healing in diabetic foot ulcers
url http://dx.doi.org/10.1155/2013/567834
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