Trifectiv Plus Wound & Burn Care: breakthrough treatment for diabetic foot ulcers

Diabetic foot ulcers are a concern for the growing population of diabetic patients around the world. Thankfully with Trifectiv Plus Wound & Burn Care there is effective treatment at your fingertips.

Diabetic foot ulcers (DFU) are a concern for the growing population of diabetic patients around the world. It’s estimated that 19-34% of patients with diabetes are likely to be affected with a DFU at some point in their lifetime. The International Diabetes Federation reports that 9,1-26,1 million people will develop DFU annually in the US alone. DFU can be tricky to treat, and many diabetic patients struggle with non-healing ulcers for months or years.

The exciting news is that the science of wound care has advanced significantly over the past few years. There is now an effective treatment solution called Trifectiv Plus Wound & Burn Care which revolutionises how DFU are managed and has been endorsed by Diabetes SA.

What is a DFU?

A diabetic foot ulcer is an open sore or wound that occurs in patients with diabetes and is commonly located on the bottom of the foot. Anyone who has diabetes can develop a foot ulcer.

What causes DFU?

DFU may be caused by a combination of factors. The first is diabetic patients who have raised blood glucose for extended periods. This leads, amongst other things, to a reduced blood supply, especially to the lower leg areas. The poor blood circulation then leads to skin breakdown and the development of DFU. Other reasons include irritation, friction, pressure or trauma to the feet.

Sometimes patients are unaware of an ulcer starting since they have a reduced or complete lack of sensation in the feet due to nerve damage (neuropathy).

Prevention is the best medicine

Research has shown that the development of a foot ulcer is preventable. The most important preventions is to work with your medical practitioner to manage your glucose levels. Also exercising regularly to stimulate blood circulation, something as simple as a walk can make a big difference. It’s also very important to give your feet the TLC they deserve. Having a check-up with a podiatrist twice a year is recommended.

Why is it so important to treat a DFU effectively?

If you think you have a DFU, it’s important to seek help from a medical professional, such as a podiatrist, as soon as possible. DFUs do not heal without medical intervention. If left, they turn into chronic wounds that become larger, more painful and possibly infected, combined with an unpleasant odour. The longer you leave them, the more complicated it is to treat them. Neglecting an ulcer could ultimately lead to amputation as the final resort.

What is Trifectiv Plus Wound & Burn Care?

It’s a revolutionary wound spray that treats wounds and burns that has proven to be highly effective to treat DFUs. The main active ingredient is hypochlorous acid (HOCI). We call this the human immune molecule for good reason. Inside the white blood cells of each human, there is an ingenious process at work that forms this immune molecule with the formula HOCI. HOCI is manufactured by the white blood cells in response to infection or injury, both conditions that are present in the DFU.

HOCI has phenomenal pathogen-killing powers, including the ability to destroy those germs even when they are hiding inside biofilm (a slimy secretion that keeps them safely out of reach of antiseptics and antibiotics).

Trifectiv Plus Wound & Burn Care contains high concentrations of pharmaceutical-grade HOCI that is manufactured in a laboratory under medical conditions, using a process that is not altogether different from the way our white blood cells work.

HOCI is not only a strong germ killer but also reduces inflammation in wounds. Wounds with less inflammation are less painful and heal more quickly. The eradication of infection also means that wounds quickly stop smelling foul.  Because the concentration of the immune molecule is so much higher in Trifectiv Plus Wound & Burn Care than in the white blood cells, it can support the body’s ability to heal that much faster.

How to treat a DFU the Trifectiv Plus way

It’s important to treat an ulcer holistically. Work with your medical practitioner to learn how to best manage your diabetes through diet, medication, exercise and appropriate footwear.

Treating the DFU with Trifectiv Plus Wound & Burn Care is very simple and affordable. The first step is to debride the DFU. This is best done by a podiatrist or other medical practitioner as it involves removing any dead tissue from the wound. Debridement reduces the risk of infection and, when done by a professional, is also usually pain-free.

Next, is dressing the wound correctly to create the ideal healing environment. All you need is clean non-sterile gauze, a crepe bandage, possibly a compression stocking to reduce swelling and a bottle of Trifectiv Plus Wound & Burn Care. The wound is sprayed with Trifectiv Plus Wound & Burn Care. Whilst this is air drying, a few sheets of the gauze may be sprayed until wet, but not drenched. These are then placed into and over the wound, ensuring all surfaces of the wound are in contact with the wet gauze. The gauze is then firmly secured with a crepe bandage.

If swelling is present in the lower leg then we recommend wearing a compression stocking daily. The dressing may be changed at the most every day and at the very least every third day. It’s not necessary to clean the wound with any other products or to use any other antiseptic lotions or ointments. Ordinary antiseptic products may help infection, but they also have a toxic effect on the delicate cells that are responsible for wound healing.

To find out more, please visit where you can learn more and purchase the product.

Diabetic skincare during COVID-19

Over the past year, you may have noticed a flare up of very dry, rough or flaky skin, which could be a direct result of your blood glucose reacting to stressful situations. Eucerin UreaRepair PLUS is here to offer you and your family immediate relief and protection.

Recommended by medical experts, Eucerin UreaRepair PLUS offers immediate dry skin relief with its unique formulation.

Learning to navigate your diabetic journey during a global pandemic has no doubt added an intense amount of pressure to your daily routine. Between glucose monitoring, following a diet plan, and sticking to a strict medication regime, keeping physical stress under control may be leaving you with a couple of worrisome side effects.

How high blood glucose affects the skin

By now you’re probably well aware of the effect high blood glucose can have on blood vessels. With the constant stress of COVID-19, your blood glucose can easily spike which can cause your veins to contract and harden.

Blood carries the necessary nutrients and oxygen that your skin cells need to stay healthy. When the vessels narrow, it becomes difficult for them to efficiently transport blood throughout the tiny capillary fields that feed your skin, often leading to dry skin.

Not only are the supply of nutrients affected with restricted blood flow, your white blood cells that fight disease causing viruses and bacteria also struggle to travel through these narrowed blood vessels. As a result, if you cut or scrape your skin, the skin is less capable of defending itself against infections.

It’s therefore important to use the correct treatment for your dry skin condition. According to a recent study conducted by world-renowned physicians on Diagnosis and Treatment of Xerosis cutis, urea, an organic compound found in the Eucerin UreaRepair PLUS range, is the gold standard for the treatment of dry skin.

What is urea?

Urea is a compound with the unique ability to treat two different skin factors. As a natural moisturising ingredient, it binds moisture into the outermost layers of skin while simultaneously supporting desquamation (skin peeling, which is the natural process by which the skin sheds dead skin cells). Therefore, a healthy desquamation is linked to smooth skin.

Eucerin UreaRepair PLUS range

Each product within the range plays a significant role in treating problem areas and has been uniquely formulated to relieve, revitalise, and replenish dry skin conditions.

Key products that specialise in diabetic skincare

Eucerin UreaRepair PLUS 5% Urea Lotion

Suitable for people with Type 2 diabetes, it is designed to give dry, rough, and bumpy body skin the daily care it needs. It contains a unique combination of ingredients: urea, ceramide and other natural moisturising factors that lock moisture in and repair the skin´s natural protective barrier to prevent further moisture loss. The formula has been clinically and dermatologically proven to deliver immediate relief and intense, long-lasting moisturisation, delaying dryness and roughness for up to 48 hours. 

Eucerin Intensive Lip Balm Anti-Inflammatory Soothing Care 10ml

The unique combination of active ingredients in Eucerin Intensive Lip Balm Anti-Inflammatory Soothing Care makes it a highly effective solution for extremely dry, cracked, chapped lips.

  • Soothing Licochalcone A reduces redness and calms irritation.
  • Evening primrose oil helps regenerate the lips’ natural protective barrier.
  • Panthenol moisturises, regenerates, and promotes healing.
  • Glycerol intensively moisturises to leave lips feeling soft and smooth.

The balm is also suitable for use on the perioral skin around the mouth, and for conditions, such as lip-lick eczema, cheilitis or dry lips caused by a medical treatment.

Eucerin UreaRepair PLUS 5% Urea Hand Cream 75ml

The skin on our hands is more exposed to external aggressors than any other part of our body, especially during COIVD-19. Frequent sanitising and hand washing means it is often in contact with harsh chemicals. A stable barrier function protects us from these external factors and keeps skin hydrated. When the skin barrier is impaired, skin may lose moisture and hands can look and feel very dry, red and scaly.

Eucerin UreaRepair PLUS 5% Urea Hand Cream contains urea, ceramide and other natural moisturising factors that offer a significant decrease in dryness even after six, high-temperature hand washings. It has been clinically proven to deliver both immediate relief and intense moisturisation for very dry, rough and strained hands. It strengthens skin’s natural barrier, making skin resilient to dryness for up to 48 hours.

Eucerin UreaRepair PLUS 5% Urea Replenishing Body Wash Fluid 400ml

Many soaps and cleansers contain harsh alkali detergents that wash away the epidermal lipids and moisturising factors that form the skin’s natural protective barrier. This leaves it prone to dryness and irritation.

Eucerin UreaRepair PLUS 5% Urea Replenishing Body Wash Fluid contains very gentle cleansing agents, making it suitable for cleansing very dry, rough body skin. It is further enriched with urea and natural moisturising factors which protect skin from drying out further and relieve the itchiness that often comes with dry skin.

Eucerin UreaRepair 5% Urea Replenishing Face Cream 50ml

This cream is a light and gentle everyday moisturiser for dry to very dry and tight skin. Enriched with urea and lactate, two naturally occurring compounds that bind in moisture, it instantly hydrates the facial skin, reducing the feeling of tightness to give it a smooth, supple feel. It is ideal for use under make-up or after shaving.

With more than 100 years of expertise in the science of skincare, Eucerin is now one of the world’s most trusted skincare brands. Years of dedicated research continues to develop innovative and effective products for happier, healthier skin.

Eucerin. Life-changing power of dermatological skincare.

For more information please visit


  1. Diabetes News Journal, High Blood Sugar Levels Affect How Blood Vessels Contract, Marta Silva. January 2016.
  2. IDF Diabetes Atlas (7th): a global report published by the International Diabetes Federation (IDF), Brussels, Belgium (2015)
  3. Diabetic skin: background and treatment / Eucerin. Data on file.

What’s in Shape Diet Meal Replacement Shakes?

There were many comments from our readers after we shared the article on Shape Diet Meal Replacement Shakes. We share the relevant ones with feedback by registered dietitian and diabetes nurse educator, Tammy Jardine.

The carbs in Shape is high. How can it be diabetic friendly?

Diabetes management is tricky since every person is affected differently by this disease and the amount of carbs that one person can tolerate is not the same as somebody else.

A basic rule is to have no more than 45g carbs per meal which is about equal to a meat and salad sandwich. Every person is different and to determine your individual limit it is advisable to see a dietitian who specialises in diabetes. 

I currently use a meal replacement shake with high nutrition and am happy with my choice. Must I change it?

There are many meal replacement options on the market. Always seek the advice of a qualified dietitian to ensure you are getting the best option that works for you.

Is there sucrose in Shape?

No, there is no sucrose but sucralose (an artificial sweetener).

The non-nutritive sweeteners, sucralose (in the shakes), and sugar alcohols (xylitol) are safe to use for people living with diabetes. They don’t cause a rise in blood glucose levels.

There will always be controversy about sugar substitutes since they require processing to achieve final product. The debate is not whether it’s natural (since sucrose sugar is natural), but rather about the process and the chemicals required to process the product. In studies, there is no scientific reason to avoid sugar substitutes in diabetes.

What is the carbohydrate source in Shape?

The first three ingredients listed on the label are: skim milk powder, maltodextrin, whey protein concentrate and does not include sugar at all. The carbohydrate source of this product is maltodextrin.


Tammy Jardine is a qualified diabetes educator and a registered dietitian. Living with diabetes for over 15 years means that she knows first-hand how difficult it can be to achieve and maintain optimal blood glucose control with good lifestyle habits. She believes that diabetes affects every person differently and takes the time to understand how it’s affecting the individual and to help them manage it effectively. With more than 20 years of experience working as a dietitian in the UK and SA, she has a passion for helping people live a better and happier life with good food. Tammy currently works from Wilgeheuwel hospital. Email: