Abstract

Chronic wounds, particularly in patients with diabetic ulcers, are often
exacerbated by underlying metabolic dysfunctions. This review examines the
impact of a low-carb, high-protein nutritional approach combined with platformbased patient engagement on wound healing outcomes. A retrospective chart
review of 29 patients revealed that reductions in BMI, weight, and waist
circumference were positively correlated with faster healing times. High levels of
nutritional compliance, confirmed via platform tracking, were associated with
these improvements, highlighting the importance of adherence to dietary
interventions

These findings suggest that integrating therapeutic carbohydrate restriction with
standard wound care may offer a promising strategy for enhancing wound
healing, particularly in metabolically compromised patients

Introduction

Chronic wounds are a significant healthcare challenge, often complicated by
underlying metabolic dysfunctions such as insulin resistance and glucose toxicity.
Traditional approaches in wound care frequently involve high-carbohydrate
nutritional supplements, which may exacerbate these metabolic issues and
hinder the healing process. Given the critical role that diet plays in managing
chronic diseases, tailored nutritional interventions, such as therapeutic
carbohydrate restriction, have the potential to improve wound healing
outcomes by addressing the metabolic factors at play

In our wound clinic, we have observed that conventional treatment approaches,
which focus primarily on glucose-centric medication management, often lead to
glucose toxicity and medication-induced weight gain. To explore alternative
strategies, we implemented a therapeutic carbohydrate restriction combined
with a high-protein diet, supported by platform-based patient engagement and
counseling.

This retrospective chart review done as a practice review examines the realworld outcomes of 29 patients who adopted this dietary intervention. Our goal
is to assess the impact of this approach on wound healing and overall clinical
status, offering insights into the potential benefits of integrating metabolic
management with wound care in clinical practice. By focusing on the
improvement of metabolic health alongside wound healing, we aim to provide a
more effective and holistic treatment strategy for patients suffering from
diabetic wounds