Is Your Diabetic Relative's Skin Condition a Concern? Expert Insights

The skin condition of the diabetic patient in the image is related to diabetes issues or dermatological disorders?

Hello Doctor, my mother-in-law has diabetes, and recently we noticed a skin condition on her palms as shown in the images.
We are unsure if this is a normal phenomenon related to poor diabetes control or if it is a skin disorder that requires a visit to a dermatologist.
Since she has limited mobility and is in a nursing home, going to a dermatologist requires a visit on a weekday, and the children are only available on weekends, which is quite inconvenient.
Therefore, I am seeking your advice online to see if it is still necessary for her to have a consultation.
Thank you!

Jack, 50~59 year old female. Ask Date: 2017/12/12

Dr. Wu Yuxin reply Dermatology

Skin issues.
However, without actually seeing the lesions, it is difficult to determine.
If it is very bothersome, please seek medical attention as soon as possible.

Reply Date: 2017/12/12

More Info

When it comes to skin conditions in diabetic patients, there are several factors to consider. Diabetes can lead to various skin issues due to poor circulation, high blood sugar levels, and a weakened immune system. The skin changes you are observing on your mother-in-law's palms could be indicative of a few different conditions that are often associated with diabetes.

Firstly, it is important to understand that individuals with diabetes are at a higher risk for skin infections and conditions such as diabetic dermopathy, which presents as light brown, scaly patches on the skin. Another common condition is acanthosis nigricans, which appears as dark, velvety patches of skin, often found in body folds. This condition is typically associated with insulin resistance, which is common in type 2 diabetes.

The images you provided suggest that the skin condition may not be a typical manifestation of poorly controlled diabetes but could be a sign of a specific dermatological issue. Given that your mother-in-law is in a nursing facility and has limited mobility, it is understandable that getting her to a dermatologist may be challenging. However, it is crucial to assess whether the skin condition is causing her discomfort or if it poses a risk of infection.

If the skin appears red, inflamed, or if there are any open sores, it is essential to seek medical attention promptly, as these could lead to more severe complications. Infections can spread quickly in diabetic patients due to their compromised immune systems. If the skin condition is merely dry or flaky, it may be manageable with proper moisturizing treatments.

For immediate care, consider the following steps:
1. Moisturization: Regularly apply a good quality moisturizer to the affected areas. Look for products containing ingredients like glycerin, urea, or hyaluronic acid, which help retain moisture in the skin.

2. Gentle Cleansing: Use mild, fragrance-free cleansers to avoid further irritation. Harsh soaps can strip the skin of its natural oils, exacerbating dryness and irritation.

3. Avoid Scratching: Encourage her to avoid scratching the affected areas, as this can lead to skin breakdown and potential infections.

4. Monitor Blood Sugar Levels: Ensure that her diabetes is well-managed, as high blood sugar can worsen skin conditions. Regular monitoring and adherence to her diabetes management plan are crucial.

5. Consult a Healthcare Provider: If possible, arrange for a healthcare professional to assess her skin condition. Many facilities have telehealth options, which could allow for a consultation without the need for travel.

In conclusion, while it may be tempting to wait and see if the condition improves, it is always better to err on the side of caution, especially with a diabetic patient. Skin conditions can escalate quickly, and early intervention can prevent complications. If her condition worsens or if she experiences any pain, redness, or swelling, it would be advisable to seek medical attention as soon as possible.

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