By Dr. Sandeep Benkal
Dr. Sandeep Benkal boasts a comprehensive fifteen-year background as an Ayurvedic doctor, with a particular specialization in skin conditions, arthritis, PCOS, and diabetes management.
BAMS, DND| 15+ Years of Experience
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Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar), which leads to serious damage to the heart, blood vessels, eyes, kidneys and nerves, over a period of time. Type 2 diabetes, is the most common in adults. It occurs when the body becomes resistant to insulin or doesn't make enough insulin. Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin by itself.
Here are the few ways Diabetes affects the skin:
Diabetic Dermopathy:
Symptoms: Light brown, scaly patches that may be oval or circular. These patches often appear on the shins.
Cause: Changes in the small blood vessels due to high blood sugar levels can lead to this condition.
Dry Skin and Itching:
Symptoms: Dryness, flakiness, itching, and potential cracking of the skin.
Cause: High blood sugar levels can lead to fluid loss, which results in dry skin. Additionally, poor circulation and nerve damage (neuropathy) can reduce the ability of the skin to stay hydrated.
Skin Infections:
Symptoms: Redness, swelling, warmth, and pain in the affected area, often accompanied by pus or other drainage.
Cause: People with diabetes are more susceptible to bacterial and fungal infections due to impaired immune response.
Acanthosis Nigricans:
Symptoms: Dark, velvety patches of skin, commonly found in body folds such as the neck, armpits, and groin.
Cause: Often associated with insulin resistance, this condition signals high insulin levels in the blood.
Eruptive Xanthomatosis:
Symptoms: Firm, yellow, pea-sized bumps on the skin, often surrounded by red halos and accompanied by itching.
Cause: High levels of triglycerides in the blood, often due to uncontrolled diabetes.
Blisters:
Symptoms: Painless blisters that can appear on the hands, feet, legs, or forearms.
Cause: The exact cause is unknown, but it is thought to be related to diabetes-related changes in the skin.
Digital Sclerosis:
Symptoms: Thick, waxy skin on the backs of the hands and sometimes on the fingers and toes, causing stiffness and limited movement.
Cause: Collagen build-up in the skin due to high blood sugar levels.
Solutions for Managing Diabetes-Related Skin Issues:
Control Diabetes: The most effective way to prevent and manage skin complications, in diabetes, is to keep blood sugar levels within the target range. This can be achieved through a combination of diet, exercise, medication, and regular monitoring.
Skin Hygiene: Keep your skin clean and dry. Use gentle, fragrance-free cleansers and moisturize regularly to prevent dryness. Pay special attention to skin folds and areas prone to infections.
Stay Hydrated: Drink plenty of water to keep your skin hydrated. Proper hydration helps maintain skin elasticity and prevents dryness.
Skin Protection: Protect your skin from extreme temperatures and harsh weather conditions. Use natural or herbal sunscreen lotions with at least SPF 30 to prevent sunburn, which can exacerbate skin problems.
Comfortable Clothing: Choose loose-fitting, breathable fabrics to avoid irritation and allow your skin to breathe. Avoid tight clothing that can cause friction and worsen skin conditions.
Wound Treatment: Attend to cuts, scrapes, and blisters promptly to prevent infections. Clean wounds with mild soap and water, apply an antiseptic ointment, and cover with a sterile bandage.
Regular Check-Up: Regular visits to your healthcare provider can help detect skin problems early. Discuss any new or worsening symptoms with your doctor for timely intervention.
Proper understanding of the potential skin issues related to diabetes and adopting effective strategies to address them is very important. Controlling blood sugar levels is the key to preventing all the complications related to diabetes, especially, skin issues. Hence, prioritize the overall diabetes management plan, seek early intervention, refrain from self-medications and rely on proper consultation with qualified doctors.