Ketosis
Sugar • Sugar has been described both in history and recently as a topical wound treatment. • The basis for its use is its high osmolality. • Thus, it is effective in reducing edema due to its hydrophilic action. • It has also been reported to attract macrophages, accelerate slough of devitalized tissue, provide cellular energy, and promote granulation tissue. • Its use should be discontinued after the wound has a good bed of granulation tissue. • It has been reported to be effective against Staph., Strep., Enterobacter, E. coli, Klebsiella, Pseudomonas, and Serratia organisms. • It reportedly does not cause hyperglycemia. • It should be used with caution on large wounds. Its hydrophilic action can pull more fluids, electrolytes, and proteins from the wound tissues.
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