A diabetic with HbA1c of 11% will requires all of management except?

Consensus statement from the ADA identifies six intervention with demonstrated efficacy in diabetic foot wounds : off-loading debridement, wound dressings, appropriate use of antibiotics, revascularization, and limited amputation. Off-loading is the complete avoidance of weight bearing on the ulcer, which removes the mechanical trauma that retards wound healing. Bed rest and a variety of ohotic devices or contact casting limit weight bearing on wounds or pressure points. Surgical debridement is impoant and effective, but clear efficacy of other modalities for wounds cleaning (enzymes, soaking, whirlpools) are lacking. Dressing such as hydrocolloid dressing promote wound healing by creating a moist environment and protecting the wound. Usage of antiseptic agents should be avoided.