Why antibiotics sometimes fail for people with diabetes and skin infections

Diabetes and Antibiotic Treatment Failure

NIH-funded research Univ of North Carolina Chapel Hill · NIH-11222688

Researchers are looking at how high sugar in diabetic wounds helps Staphylococcus aureus survive antibiotics and cause persistent infections.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniv of North Carolina Chapel Hill NIH-funded
Lab location1 site (Chapel Hill, United States)
Project IDNIH-11222688 on NIH RePORTER

What this research studies

From a patient perspective, the team uses mouse models that mimic diabetes and normal sugar levels and infects them with MRSA to mirror skin and soft tissue infections. They will measure how excess glucose changes bacterial metabolism, leads to acid buildup in the wound, and increases mutations that make antibiotics less effective. The researchers will also study how diabetes-related immune problems let tolerant or resistant bacteria hide in the body. Finally, they will follow bacteria through repeated infections in diabetic mice to see how tolerance and resistance evolve over time.

Who could benefit from this research

Good fit: Adults with diabetes who have recurrent or hard-to-treat skin and soft tissue infections, especially those caused by MRSA, would be most relevant to this research.

Not a fit: People without diabetes or those with non-bacterial wounds or infections caused by other microbes may not directly benefit from these findings.

Why it matters

Potential benefit: If successful, this work could point to new ways to prevent antibiotic failure and reduce chronic or severe infections in people with diabetes.

How similar studies have performed: Previous laboratory studies suggest high glucose can help bacteria tolerate antibiotics, but translating these findings into human treatments is still early and largely unproven.

Where this research is happening

Chapel Hill, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.