Skin Manifestations of Diabetes You Shouldn’t Ignore
Diabetes mellitus, sometimes known as diabetes, is a chronic metabolic illness that affects billions of people worldwide, including over 100 million in India. While most people are aware of the major complications of diabetes, such as cardiovascular disease and nerve damage, the effect of the disease on the skin is sometimes disregarded. Diabetes can show in a variety of dermatological symptoms because the skin is a reflection of overall health.
Diabetic Dermopathy: Common Cutaneous Symptom in Diabetics
Diabetic dermopathy is one of the most common cutaneous symptoms of diabetes. This ailment manifests as light brown or reddish scaly patches on the shins. Diabetic dermopathy is normally painless and does not cause itching. It is caused by changes in small blood vessels beneath the skin, which cause changes in skin structure and colour. While the patches disappear with time, they can be persistent in indicating abnormal blood sugar levels (1).
Acanthosis Nigricans: Unveiling Its Link to Diabetes and Obesity
Another skin disorder connected to diabetes is acanthosis nigricans. It has black, thickened, and velvety skin that is usually found in body folds such as the neck, armpits, and groin. This condition is a symptom of insulin resistance, which is a risk factor for type 2 diabetes. Acanthosis nigricans may also be linked to obesity, making it a useful indication for people at risk of developing diabetes (2).
Bullosis Diabeticorum: An Odd Yet Rare Skin Condition in Diabetic Patients
Diabetes patients may develop an odd and rare illness known as bullosis diabeticorum. This illness is distinguished by the abrupt emergence of big, painless blisters on the feet, hands, legs, or forearms. These blisters might be frightening for those who are affected, although they are rarely associated with illnesses. The precise cause of bullosis diabeticorum is unknown, but it is thought to be related to nerve injury and poor blood circulation (3).
Managing Necrobiosis Lipoidica Diabeticorum (NLD): Chronic Skin Disorder Linked to Diabetes
The chronic skin disorder necrobiosis lipoidica diabeticorum (NLD) primarily affects the lower legs. It shows reddish-brown, glossy lesions with clear edges. These lesions may become open sores over time, increasing the risk of infection. NLD is thought to be caused by changes in blood vessels and skin collagen, and it is more common in patients with type 1 diabetes. Proper blood sugar control and wound care are critical in the treatment of NLD (4).
Diabetes Foot Care: Preventing and Managing Diabetic Foot Ulcers
Diabetes-related foot ulcers are among the most worrying cutaneous problems. Diabetes can cause nerve damage (diabetic neuropathy) and impaired blood flow to the feet (peripheral vascular disease) if blood sugar levels remain elevated for an extended period. As a result, minor injuries or cuts may go unreported, resulting in non-healing ulcers that are infected and difficult to treat. To prevent and manage diabetic foot ulcers, proper foot care and regular check-ups are required (5).
Key to Mitigating Skin Complications in Diabetes
Diabetes is a complicated and multidimensional disease that can have a significant influence on the skin. Diabetes skin manifestations can help both patients and healthcare professionals monitor blood sugar levels and guarantee optimal disease treatment. Early detection and treatment of these skin disorders are critical for reducing complications and enhancing the overall quality of life for diabetics.
If you have diabetes and observe any unusual skin changes, you should see a doctor right once. Adopting a healthy lifestyle, taking prescribed medications, and routinely checking blood sugar levels can also lower the risk of skin problems and improve overall diabetes management. Remember that a comprehensive approach to diabetes management is critical to protecting not only your skin but also your overall health.
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References:
- Naik PP, Farrukh SN. Clinical Significance of Diabetic Dermatopathy. Diabetes Metab Syndr Obes. 2020 Dec 8;13:4823-4827. doi: 10.2147/DMSO.S286887. PMID: 33324080; PMCID: PMC7733392.
- https://www.ncbi.nlm.nih.gov/books/NBK431057/
- Chouk C, Litaiem N. Bullosis Diabeticorum. 2023 May 23. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. PMID: 30969694.
- https://www.ncbi.nlm.nih.gov/books/NBK459318/
- Everett E, Mathioudakis N. Update on management of diabetic foot ulcers. Ann N Y Acad Sci. 2018 Jan;1411(1):153-165. doi: 10.1111/nyas.13569. PMID: 29377202; PMCID: PMC5793889.
Source: Medindia
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