<![CDATA[Introduction: Diabetic foot ulcers (DFU) are among the most serious complications of type 2 diabetes mellitus (T2DM), affecting up to one-third of individuals with diabetes during their lifetime and preceding most non-traumatic lower-limb amputations. In resource-limited settings, delayed presentation and persistent hyperglycemia frequently compromise wound healing. Case Description: A 60-year-old male entrepreneur with a five-year history of poorly controlled T2DM presented with a progressively enlarging plantar heel ulcer and a random blood glucose level of 372 mg/dL. After referral from primary care, he underwent surgical debridement for infection control at Royal Prima Marelan Hospital. Because healing stalled under persistent hyperglycemia, a structured protocol was instituted comprising weekly outpatient review, serial autolytic and mechanical debridement, cleansing with a mild antiseptic, a hydrocolloid silicone gel dressing under moist wound healing principles, periwound skin-barrier protection, high-protein nutritional counselling, and glycemic optimization with metformin and glibenclamide. Over approximately two months, the wound bed converted from slough-dominated to predominantly healthy granulation tissue with visible contraction, in parallel with improved glycemic control. Split-thickness skin grafting was offered to close the residual defect but was declined by the patient. Conclusion: This case illustrates that even without advanced modalities, integrating wound bed preparation, moisture balance, and sustained glycemic control within a coordinated outpatient pathway can achieve meaningful healing of a large plantar DFU. Early referral, patient adherence, and multidisciplinary follow-up are decisive factors for limb preservation.]]>
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