Diabetes-Related Skin Conditions

The following skin conditions occur almost exclusively in people who have diabetes.

5A.Diabetic Dermopathy

Diabetic Dermopathy

Skin and Systemic Disease: A Clinician’s Guide

This common skin condition is characterized by depressed, irregularly round or oval, light brown, shallow lesions.

Lesions may vary in number from few to many and are usually found on both legs but are not symmetrically distributed.

Dermopathy appears as scaly patches that are light brown or red, often on the front of the legs. The patches do not hurt, blister, or itch, and treatment generally is not necessary. The patches are sometimes called skin spots.

Because these lesions do not itch, hurt, or open up, they are often overlooked and not reported to the health-care provider.

5B.Diabetic blisters (bullosis diabeticorum)

 

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This is an uncommon condition in which blisters occur on the hands and feet and sometimes also the legs and forearms.

The blisters are unrelated to trauma or infection; they develop spontaneously and may become quite large.

In rare cases, people with diabetes develop blisters that resemble burn blisters. These blisters—called bullosis diabeticorum—can occur on the fingers, hands, toes, feet, legs, or forearms.

Diabetic blisters usually are painless and heal on their own. They often occur in people who have diabetic neuropathy.

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5C.Foot Ulcers

Skin Conditions Associated With Diabetes

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Foot ulcers are a serious problem that can ultimately lead to amputation if left untreated.

Each year, about 2% to 3% of people with diabetes develop a foot ulcer.

Approximately 15% of people with diabetes develop a foot ulcer at some point in their lifetime.

Foot ulcers are erosions on the skin of the feet.

Some affect just the outermost layers of skin, while others extend to deeper tissues.

Ulcers often begin as a result of minor trauma, such as irritation from ill-fitting shoes that goes unnoticed or untreated.

The most common locations for ulcers to develop are the weight-bearing areas of the foot such as the heel and the ball of the foot and sites subject to pressure such as the toes or ankles.

A number of factors make people with diabetes more likely to develop foot ulcers than those without diabetes.

 

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Neuropathy is one risk factor. Almost all people with diabetes who develop typical foot ulcers have neuropathy that affects their motor, sensory, or autonomic nerves.

Neuropathy in the motor nerves causes weakness, thinning, and limitation in the movement of certain muscles in the foot, leading to deformities in the normal foot shape such as atypically high arches, claw toes (all toes except the big toe bend toward the floor) and hammer toes (the longest toe bends toward the floor at the middle toe joint).

Neuropathy of the sensory nerves results in loss of protective sensation to pain, pressure, and heat.

People with sensory neuropathy may therefore not be aware of cuts, abrasions, and calluses that can lead to ulcers.

 

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Depending on the amount of sensory neuropathy, people may even be unaware of major traumas to their feet, such as occur from stepping on pins, glass, and other sharp objects.

Neuropathy of the autonomic nerves can lead to warm, excessively dry feet that are prone to skin damage.

Peripheral vascular disease is another factor that can contribute to the formation of foot ulcers in people with diabetes.

Because of the decreased blood circulation to the feet in this condition, there is an impaired delivery of oxygen, nutrients, and antibiotics.

Therefore, wounds tend not to heal well and to become infected.

Foot ulcers warrant immediate attention and treatment.

The doctor will need to determine how deep and infected the ulcer is.

He may take an x-ray of the foot to check whether infection has spread to the bone.

Treatment for a foot ulcer may include oral or intravenous antibiotics to control the infection, as well as dressings and salves with lubricating, protective, antibiotic, or cleansing properties.

Taking care of the ulcer and following up with health-care providers is very important for preventing complications that could eventually lead to an amputation.

Proper foot care is a vital part of preventing minor wounds from developing into ulcers. This means the feet should be inspected daily for cuts, sores, or other forms of irritation.

The toenails should be cut straight across. (If a person cannot see or reach his feet, a health-care provider should cut his toenails.)

The feet should be washed daily in warm water and carefully dried, especially between the toes. A moisturizing lotion should then be applied, but not between the toes.

A health-care provider should examine the feet at least once a year.

People with risk factors for developing a foot ulcer, such as neuropathy, foot deformities, calluses, or a history of foot ulcers, should have their feet inspected by a doctor more often, preferably every one to six months.

If a person notices a blister, cut, scratch, sore or other form of irritation, he should be sure to notify his health-care provider immediately.

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People with diabetes should avoid walking barefoot, even when indoors.

Socks or stockings should also be worn to reduce friction between the foot and the shoe.

If possible, choose seamless socks and stockings.

Wearing shoes that fit is very important, since ill-fitting footwear is a major cause of foot ulcers.

Shoes should have some room, preferably 1/2—5/8 inch, between the front of the shoe and the longest toe.

The width of the shoe should accommodate the ball of the foot, and the toes should not be cramped.

Selecting a store with a certified pedorthist on staff is a good idea, since this person will know the subtle differences between various styles.

It is best to select shoes toward the end of the day, when feet are at their largest.

People who have lost the protective sensation in their feet due to neuropathy or those who have peripheral vascular disease, foot deformities, calluses, ulcers, or other special circumstances should discuss getting customized shoes with their doctor.

5D.Necrobiosis Lipoidica Diabeticorum (NLD)

If you’ve had diabetes for a long time without good control of your blood sugar, you could get NLD. Poor blood supply to the skin can cause changes in the collagen and fat underneath.

The overlaying skin becomes thin and red. Most lesions are found on the lower parts of the legs and can turn into an ulcer if there’s trauma.

Lesions have fairly well-defined borders. Sometimes, NLD is itchy and painful. As long as the sores don’t break open, you won’t need treatment for them. If the sores do break open, see your doctor.

5E.Digital Sclerosis

 

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Due to poor blood flow, the skin on your toes, fingers, and hands becomes thick, waxy, and tight. It can also make your finger joints stiff.

Get your blood sugar under control, because that can help treat this condition.

Try lotions and moisturizers to help soften the skin.

5F.Eruptive Xanthomatosis

Blood fats called triglycerides form yellow, waxy bumps ringed by a red halo.

They most frequently develop on your arms, legs, buttocks, feet, and the backs of your hands, and disappear when your diabetes is under control.

 

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Diabetes And Fungal Infections

Fungal Infections

Fungal Infections of the Skin and Nails

High blood glucose levels can also predispose people with diabetes to developing common fungal skin infections from organisms such as Tinea and Candida.

Fungal infections can occur just about anywhere, including the feet (Tinea pedis), the hands (Tinea manuum), the body (Tinea corporis), and the groin (Tinea cruris).

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Tinea pedis, or athlete’s foot, usually occurs in the web spaces between the toes or on the soles of the feet.

Lesions are itchy and may develop vesicles (sacs filled with air or fluid) or may simply be red and scaly.

It is usually contracted by walking barefoot on a contaminated floor. To help prevent athlete’s foot, it is always a good idea to wear slippers or shoes of some sort in public areas such as locker rooms.

Tinea manuum is characterized by papules (small, raised pimples or swellings), vesicles, or scaling, typically on the dominant hand, and is associated with touching athlete’s foot lesions.

Tinea corporis, or ringworm, presents as multiple red or pinkish circular lesions with a distinct, scaly border. In severe cases, the lesions may merge, forming large, discolored areas on the body.

Tinea cruris, or jock itch, results in red to brownish, scaly, itchy lesions that cover the groin and sometimes extend to the pubic region and upper thighs.

 

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Candidiasis of the skin tends to occur in folds of skin such as the underarms, groin, under the breasts, and between the buttocks.

This condition begins with pustules on a red base that eventually result in softened, thickened areas of skin.

All of these superficial fungal infections are treated in more or less the same way.

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Applying antifungal creams two to three times daily for approximately two to four weeks should clear the infection.

Keeping the affected areas dry, and using medicated powders in skin folds to reduce friction and moisture are also helpful measures.

Infections that don’t respond to topical treatment may be treated with oral antifungal medicines.

 

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Diabetes And Bacterial Infections

Bacterial Infections

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When blood glucose levels are high, a person with diabetes is more susceptible to infection. This is believed to be why there’s a higher incidence of certain bacterial infections among people with diabetes and why these infections tend to be more serious than in the general population.

There are different kinds of bacterial infections affecting the skin. These include styes, which are infections of the glands of the eyelids; boils, which are infections of the hair follicles; and carbuncles, which are deep infections of the skin and the underlying tissue. There also are bacterial infections that affect the nails. With a bacterial infection, the areas involved generally are hot, swollen, red, and painful.

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Most bacterial infections require treatment with antibiotics in the form of pills and/or creams.

The following are some of the more common bacterial infections in people who have diabetes.

2A.Impetigo and Ecthyma

Impetigo and Ecthyma

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Impetigo is a common, contagious, superficial skin infection that starts out as fluid- or pus-filled blisters or pimples that rupture to form erosions on the skin.

These erosions are then covered by crusts. Minor breaks in the skin may lead to an impetigo infection, or it may arise as the result of an existing skin problem, such as atopic dermatitis, contact dermatitis, psoriasis, ulcers, traumatic wounds, burns, or insect bites.

This infection most often arises on the face, arms, legs, buttocks, hands, and skin folds such as the underarms and groin.

Ecthyma has many features similar to those of impetigo and can in fact result from untreated impetigo.

The main difference is that ecthyma goes into the deeper layers of the skin, forming ulcerations, which then become covered with thick crusts.

This condition most commonly occurs on the legs and sometimes the buttocks.

Poor hygiene increases the risk of ecthyma.

Impetigo may improve on its own, or it may become chronic and widespread.

The use of oral antibiotic medicine, coupled with topical antibiotics such as bacitracin, antibacterial soaps, and good hygiene, is typically sufficient to clear the infection within a week.

Ecthyma is usually treated the same way but for a longer period of time; generally, antibiotics are taken for 10—14 days.

Since lesions (areas of damaged tissue) are deeper in ecthyma, they usually take a longer time to close, and they may heal with some degree of scarring.

2B.Folliculitis, Furunculosis, and Carbuncles

Folliculitis, Furunculosis, and Carbuncles

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Folliculitis, furunculosis, and carbuncles are all infections that arise in the hair follicles.

Sweat and other conditions that cause moisture on the skin (such as high temperatures and humid weather), the shaving of hairy regions such as the underarms and legs, and the blockage of hairy areas by clothing, bandages, or casts or by lying or sitting in one spot for a long period of time can all increase the risk of an infection in the hair follicles.

Folliculitis is inflammation of the hair follicle that is characterized by the formation of a pustule (a small pimple or blister containing pus) or a group of pustules.

Furunculosis is distinguished by the development of furuncles – deep, red, hot, tender nodules – that may develop from the pustules found in folliculitis.

The nodules usually enlarge, become painful, and rupture after several days, forming abscesses (swollen areas containing pus).

Furuncles generally occur on the neck, face, underarms, and buttocks.

A carbuncle is a larger, painful, more serious lesion with a deeper base, generally occurring at the nape of the neck, on the back, or on the thighs. The area is red, swollen, and covered in pustules.

Fever and a feeling of illness may also occur with a carbuncle.

The chances of getting folliculitis may be lessened by using clean or new razors to shave, exposing areas of the skin that are typically covered, such as the back, to the air, and wearing loose, cool clothing.

Lesions usually improve on their own, but they heal faster with the use of antibiotic washes and creams.

Simple furunculosis is treated by the local application of antibiotic creams and warm, moist compresses, which relieve discomfort and promote drainage.

A carbuncle or furuncle with a significant amount of redness or swelling or an associated fever should be treated with a systemic antibiotic (one that affects the entire body), since one of the risks of these lesions is an infection of the bloodstream.

This can spread bacterial infection to many of the body’s organs, including the heart, brain, and kidneys.

When the lesions are large, painful, and fluctuant (they can be shifted and compressed), draining them via surgery is usually the best option.

In these cases, the person should receive antibiotics until all evidence of inflammation has disappeared. After the lesion is drained, the area should be covered with a thin layer of antibiotic ointment and a sterile dressing.

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2C.Cellulitis and Gangrene

Cellulitis and Gangrene

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Two of the more serious and complicated bacterial infections that occur in people with diabetes include cellulitis and infectious gangrene.

Cellulitis is an infection that spreads through the deeper layers of the skin as well as the fat layer directly underneath the skin.

People who develop cellulitis usually have an open wound that acts as an entry point for bacteria, although occasionally, the skin infection originates from a bacterial infection of the blood.

Areas infected by cellulitis are typically red, warm, painful, and swollen.

The lesions feel hard to the touch, and there is no clear line between skin that is infected and skin that isn’t infected.

This condition usually affects the face and the legs are affected three times more often than the arms.

Cellulitis requires prompt medical care.

It is important that the health-care provider take a culture to determine what organism is causing the infection so that the right antibiotic is used.

Once oral or intravenous antibiotics are started, the average time for healing is 12 days, with a range of 5—25 days.

Infectious gangrene is a serious condition that usually develops on the hands or feet at the site of an injury such as a laceration, needle puncture, or surgical incision.

It can also occur in surgical incisions on the abdomen.

A surgical incision is a cut made through the skin to facilitate an operation or procedure.

Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions.

Infectious gangrene generally begins as cellulitis, which is followed by fever and other generalized symptoms as the infection rapidly spreads.

The area then becomes blue in color, and blisters appear and rupture, forming areas of black skin.

Since the mortality rate (death rate) for infectious gangrene is high, it is important that it is diagnosed early and treated aggressively.

For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

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How Diabetes Affects The Skin

How Diabetes Affects The Skin

Diabetes: Diabetes Skin Problems: Learn How To Easily Prevent Skin Disorders Linked to Diabetes

Diabetes can affect the skin in a number of ways that can make a person feel less than comfortable.

Long-term Type 2 diabetes with hyperglycemia (high blood glucose) tends to reduce blood flow to the skin.

It can also cause damage to blood vessels and nerves.

Decreased blood circulation can lead to changes in the skin’s collagen. This changes the skin’s texture, appearance, and ability to heal.

Damage to the skin cells can even interfere with your ability to sweat.

It can also increase your sensitivity to temperature and pressure.

Some glucose-lowering medications may also increase the risk of developing diabetes-related skin problems.

In fact, as many as a third of people with diabetes will have a skin condition at some point in their lifetime.

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Skin problems may alert your doctor to the fact that you have diabetes before you have any other signs.

And after you’re diagnosed with diabetes, continued skin problems may mean your condition isn’t under control.

Harmful infections receive sustenance from blood sugar.

When you have high levels of blood sugar — or too much glucose in your bloodstream — your body tries to remove the excess by excreting it in your urine.

It takes water to make urine, which leads to a loss of moisture in your body.

With this loss of fluid comes a loss of moisture in your skin, leaving it dry and easily prone to cracking.

Cracks in your skin invite infection because they make it easier for germs to get in.

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Diabetics have generally weaker immune systems, making them less able to fight infections.

Also, nerve damage and poor circulation slow tissue healing.

As a result, people with diabetes often have more frequent and serious wounds and skin infections than people without the condition.

While some skin conditions may appear uniquely in people with diabetes, others are simply more common in people with diabetes.

The good news is that a fair number of these conditions are treatable or can be prevented by maintaining blood glucose control and taking good daily care of your skin.

1.Dry, Itchy Skin


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Dry skin can occur as a result of high blood glucose. When the blood glucose level is high, the body attempts to remove excess glucose from the blood by increasing urination.

This loss of fluid from the body causes the skin to become dry.

Dry skin can also be caused by neuropathy (damage to the nerves) by affecting the nerves that control the sweat glands.

In these cases, neuropathy causes a decrease or absence of sweating that may lead to dry, cracked skin. Cold, dry air and bathing in hot water can aggravate dry skin.

Dryness commonly leads to other skin problems such as itching (and often scratching), cracking, and peeling.

Any small breaks in the skin leave it more exposed to injury and infection.

It is therefore important to keep skin well moisturized.

The best way to moisturize is to apply lotion or cream right after showering and patting the skin dry. This will seal in droplets of water that are present on the skin from the shower.

Skin that is severely dry may require application of heavy-duty emollients 2—3 times a day.

Itchy skin is usually related to dryness, but it can also be related to poor circulation, especially in the legs and feet.

This is typically due to atherosclerosis, a disease in which fatty plaques are deposited in the arteries.

Fungal infections, which can be more common when a person has high blood glucose, can also be very itchy.

2.Bacterial Infections

Bacterial Infections

Photographic Print of Skin disorders, artwork

When blood glucose levels are high, a person with diabetes is more susceptible to infection. This is believed to be why there’s a higher incidence of certain bacterial infections among people with diabetes and why these infections tend to be more serious than in the general population.

There are different kinds of bacterial infections affecting the skin. These include styes, which are infections of the glands of the eyelids; boils, which are infections of the hair follicles; and carbuncles, which are deep infections of the skin and the underlying tissue.

There also are bacterial infections that affect the nails. With a bacterial infection, the areas involved generally are hot, swollen, red, and painful. Most bacterial infections require treatment with antibiotics in the form of pills and/or creams.

Click Here for some of the more common bacterial infections in people who have diabetes.

3.Fungal Infections

Fungal Infections

Fungal Infections of the Skin and Nails

High blood glucose levels can also predispose people with diabetes to developing common fungal skin infections from organisms such as Tinea and Candida.

Fungal infections can occur just about anywhere, including the feet (Tinea pedis), the hands (Tinea manuum), the body (Tinea corporis), and the groin (Tinea cruris).

Click Here For More Information

 

4.Skin Conditions Associated With Diabetes

The following skin conditions are strongly associated with having diabetes, but they can occur in people who don’t have diabetes as well.

4A.Acanthosis Nigricans

Acanthosis Nigricans

Mechanisms of Clinical Signs

This condition is characterized by the formation of velvety, brownish, thickened areas of skin in the groin, underarms, under the breasts, and in the creases of the neck.

The affected skin may become leathery or warty or develop tiny skin tags.

Acanthosis nigricans is common in people who are obese, but it may also be associated with certain forms of cancer as well as endocrine disorders such as polycystic ovarian syndrome (PCOS), Cushing syndrome, and diabetes.

There is no cure for this condition, but it may improve with weight loss, topical bleaches, or a class of drugs known as keratolytics.

4B.Vitiligo

Vitiligo

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Vitiligo is a skin disorder that causes white spots or large areas of depigmentation to occur on various areas of the body.

About 30% of people with vitiligo have a family history of the condition, and it is more common in people with Type 1 diabetes than Type 2 diabetes.

Vitiligo progresses slowly over the years, commonly affecting the backs of the hands, the face, and body folds such as the underarms and groin.

Treatment of vitiligo is necessary only in people who have severe cases or who are considerably distressed by the condition.

Treatment involves the use of steroids or chemical agents called psoralens that are either placed directly on the skin or taken orally.

The most popular treatment, known as PUVA, uses oral psoralens in combination with phototherapy sessions, in which the person is exposed to ultraviolet light, specifically ultraviolet A.

4C.Granuloma Annulare

Granuloma Annulare
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A common skin disorder of unknown cause, granuloma annulare manifests as skin-colored or pinkish groups of bumps, or papules, that may be arranged in rings.

There are several subtypes of granuloma annulare; the one associated with diabetes is called disseminated, or generalized, granuloma annulare, in which lesions are widespread over the body.

The use of steroid creams or ointments or steroid injections is sometimes used to treat lesions.

Most, however, disappear on their own within two years.

5.Diabetes-Related Skin Conditions

The following skin conditions occur almost exclusively in people who have diabetes.

5A.Diabetic Dermopathy

Diabetic Dermopathy

Skin and Systemic Disease: A Clinician’s Guide

This common skin condition is characterized by depressed, irregularly round or oval, light brown, shallow lesions.

Lesions may vary in number from few to many and are usually found on both legs but are not symmetrically distributed.

Dermopathy appears as scaly patches that are light brown or red, often on the front of the legs. The patches do not hurt, blister, or itch, and treatment generally is not necessary. The patches are sometimes called skin spots.

Because these lesions do not itch, hurt, or open up, they are often overlooked and not reported to the health-care provider.

Click Here For More Information

6.How Can These Skin Problems Be Prevented?

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Though there is no cure for diabetes,but there are a variety of treatment options that include lifestyle changes, over-the-counter and prescription treatments, and alternative remedies that can help manage skin conditions in diabetics.

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6A.Over-the-Counter Remedies

 

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Over-the-counter remedies are available for certain types of skin disorders associated with type 2 diabetes. These remedies include:

1.hydrocortisone
2.nonprescription antifungals, like clotrimazole
3.topical steroid medications (mild hydrocortisone)

4.Daily skincare must be simple and consistent. For cleansing and moisturizing, a gentle skin cleanser is preferable to harsh deodorant or fragranced soaps that strip the skin of moisture and oils.

Lukewarm rather than hot water should be used to reduce irritations and dryness, and diabetics should avoid long soaks in the tub, since this draws moisture out of the skin.

A penetrating body cream can be applied to the skin after showering or bathing to replenish oils and moisture.

6B.Prescription Medications

Some skin conditions are severe enough that medical attention and prescription medications are required. Prescription medications and treatments available include:

1.antibiotics (topical or oral) to treat skin infections
2.stronger antifungal medications
3.insulin therapy to help regulate the origin of skin conditions

6C.Alternative Remedies


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For those who aren’t interested or don’t need prescription medications, alternative remedies are available for those with diabetes-related skin problems. These alternative remedies include:

1.talcum powder where skin touches other parts of the skin (armpit, behind the knees)
2.lotion to soothe dry skin can reduce itching

 

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3.aloe vera used topically (not orally)

4.People with diabetes can be deficient in fatty acids, zinc, and vitamins A and E. These are essential to skin integrity and wound healing.

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5. Natural ingredients such as olive oil and primrose oil soften and soothe dry skin and replenish essential elements without irritation.

Before using any natural or alternative remedies, consult your doctor. Even all-natural herbal supplements can interfere with medicine you’re currently taking.

6D.Lifestyle Changes

 

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Though sometimes genetics and other factors come into play, being overweight and inactive can have an effect on diabetes.

Lifestyle changes that can help manage diabetes include:

1.Following a healthy diet, including eating more fruits, vegetables, and whole grains
2.Maintaining an exercise program, aiming for 30 minutes of cardio, 5 days a week
3.Monitor your blood sugar
By learning how your body reacts to certain foods and medications, you can better learn how to maintain a healthy blood sugar level.

4.Avoid and actively prevent dry skin
5.Avoid scratching dry skin, which can create lesions and allow infections to set in
6.Treat cuts immediately.Wash minor cuts with soap and water and cover with a sterile gauze secured with a hypoallergenic or paper tape.

Only use an antibiotic cream or ointment if your doctor says it’s okay. Change the bandage at least once a day. See a doctor right away if you get a major cut, burn, or infection.
7.Keep your home humid during dry months
8.Avoid hot baths or showers, as they can dry skin out

9.Pat your skin dry after bathing—while rubbing the skin helps slough off dead skin cells, it can also aggravate the skin, reduce moisture and cause breaks, which leaves you more susceptible to infection.

10.Don’t put lotions between toes. The extra moisture there can encourage fungus to grow.

11.Avoid using feminine hygiene sprays or vaginal douches. They can alter the pH balance of the vagina and set the stage for increased fungal growth.

12.Drink plenty of fluids, like water and caffeine-free, sugar-free drinks, to keep your skin hydrated.

13.Eat foods rich in omega-3 fatty acids, which nourish the skin. This includes fish like salmon, sardines, albacore tuna and mackerel, as well as tofu and other forms of soybeans, walnuts, flaxseed and their oils.

14.Take extra good care of your feet. Check them every day for sores and cuts. Wear broad, flat shoes that fit well. Check your shoes for foreign objects before putting them on.

15.See a dermatologist (skin doctor) or consult with your endocrinologist about skin problems if you are not able to solve them yourself.

There are a fair share of skin disorders associated with  diabetes, some more serious than others.

While some skin conditions associated with  diabetes are mostly harmless and will go away on their own, some can be much more dangerous.

If you have a flare-up of a new skin condition listed above, make an appointment to see your doctor as soon as possible.

Work with your doctor to develop a skin care regimen that wards off these and other skin problems.

Start by regularly washing with a mild soap. Rinse thoroughly and dry carefully. Don’t miss areas such as between your toes and under your breasts.

Keep your skin moist by drinking plenty of water and applying lotion or cream regularly.

Your doctor can suggest an appropriate formula. And wear cotton underwear so that air can move around your body.

For more great information on Diabetes And Skin Conditions refer to the article Diabetes & Yeast Infection: The Most Relevant Connection.

For more great Health and Nutrition Tips refer to the website positivehealthwellness.com.

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Keeping your diabetes under control is the most important factor in preventing the skin-related complications of diabetes.

Follow your health care provider’s advice regarding nutrition, exercise, and medicine.

Maintaining control of blood glucose level within the range recommended by your health care provider is most important.

Proper skin care also can help reduce your risk of skin-related problems.

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