Blood glucose regulation significantly improves survival in Fournier’s gangrene

Elevated blood glucose at admission is linked to increased mortality in Fournier’s gangrene patients. A study of 36 patients indicated a 16.7% mortality rate, with diabetes common in 61.1% of cases. The optimal glucose cut-off of 186.5 mg/dl provided 83.3% sensitivity and specificity for predicting mortality. While existing scoring systems like LRINEC and CUPI showed predictive potential, blood glucose emerged as a more effective and quicker marker, highlighting its importance in patient management.