Diabetes complications

Advanced radiation-crosslinked CM-chitosan/gelatin hydrogel for diabetic ulcer treatment with reducing application frequency

Diabetes Res Clin PractPublished Preclinical animal study with case studies

Authors' conclusion

The radiation-crosslinked carboxymethyl-chitosan/gelatin hydrogel shows great potential as a promising modality for diabetic wound management, with both daily and alternate-day applications having immunomodulatory and pro-angiogenic functions.

Study context

Population
Full-thickness diabetic wound rat model; 2 patients with diabetes (case studies)
Comparison
Radiation-crosslinked CM-chitosan/gelatin hydrogel applied daily or on alternate days vs control
Outcome
Diabetic wound healing
Methodological detailsfull-thickness diabetic wound rat model, daily vs alternate-day application, 2 patient case studies
  • Full-thickness diabetic wound rat model
  • Daily vs alternate-day application
  • 2 patient case studies

Main finding

As reported in the abstract

  • Accelerated healing with enhanced re-epithelialization and dermal differentiation under the hydrogel
  • Treated groups developed mature skin characteristics absent in control; well-organized collagen network
  • Accelerated macrophage infiltration, phenotype shift and enhanced angiogenesis at different healing stages

Further findings

Case studies: alternate-day application in patients with diabetes

Patients positive with alternate-day application
2

Original publication

Advanced radiation-crosslinked CM-chitosan/gelatin hydrogel for diabetic ulcer treatment with reducing application frequency. Diabetes Res Clin Pract. Published 2 April 2025. doi:10.1016/j.diabres.2025.112153

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