Why diabetic wounds stall in inflammation
A chronic wound is stuck in the inflammatory phase instead of progressing to proliferation, largely because of poor perfusion and accumulated inflammatory mediators. Delivering cells that secrete angiogenic factors such as VEGF targets that stalled loop rather than simply covering the wound.
The four fundamentals that decide outcomes
Success usually hinges not on the cells but on four fundamentals: controlled glucose, offloading with proper footwear or devices, appropriate debridement, and arterial assessment of the leg. With significant arterial stenosis, revascularisation must come first or the cells are working in ischaemic ground.
What Thai patients should prepare
Thai patients considering travel should prepare a recent HbA1c, leg vascular studies (ABI or duplex), photographs of the wound with a size reference, and a medication list. That package lets the medical team judge suitability before any flight is booked.
Tracking weekly wound area
Track healing by measured wound area in square centimetres each week rather than by photographs alone. Responsive ulcers usually shrink 40–50% within four weeks; if they do not, revisit the four fundamentals before adding further therapy.