Understanding Diabetic Dermopathy

Skin problems are among the complications associated with diabetes. An estimated 1 in 3 people with diabetes (Type 1 or Type 2) will develop a skin rash or other skin problem at some point.[1] Most notably, dry, itchy skin is a common problem among diabetes resulting from too much glucose in the blood. When this happens, the body will try to get rid of the glucose by pulling it from the cells and releasing it in urine. That way it can produce enough urine to remove the excess sugar. This can make skin itchy and dry. [2]

What to know about diabetic dermopathy

Another common skin condition common among diabetics is diabetes-related dermopathy. The condition causes small reddish or brownish round or oval-shaped lesions on the skin.  The lesions often are called shin spots or pigmented pretibial patches because they commonly develop on the shins.  The thigh, trunk and arms are other areas where the lesions can occur. When patches develop, they often form bilaterally, meaning they occur on both legs or both arms.[3]

Diabetes-related dermopathy can appear as scars or be indented, generally 1 to 2.5 centimeters in size.[4] Regardless of the number of lesions, which can vary, the condition is generally harmless. The lesions do not cause itching or burning and stinging. Nor do they not break open and ooze fluids. They can last for months and in some cases may be permanent.

The condition affects those living with either diabetes Type 1 or type 2 and those who have been living with diabetes for some time. It also seems to be more common among males and older adults. The condition is not contagious.

What causes diabetic dermopathy

What causes diabetic dermopathy is not clear. It may be linked to poor circulation or inadequate blood flow to parts of the body from uncontrolled diabetes. Decreased circulation can impact wound healing. A wound that does not heal properly can cause the development of bruise-like lesions or spots. A predisposition to diabetic dermopathy also may be due to damage to the nerves and small blood vessels from diabetes. [5] There may be links between diabetic dermopathy and other diabetes complications including retinopathy, neuropathy, and kidney issues.

Treating the condition

There is no known treatment for diabetic dermopathy. Makeup can help cover the spots if someone is feeling self-conscious about them. If the lesions produce dry, scaly patches, using a moisturizer can help approve the appearance and ease the symptoms. Research indicates that modified collagen and high glycerin-based lotion can improve skin color changes due to diabetic dermopathy.[6]

EASE-Z Diabetics’ Dry Skin Therapy Lotion

For diabetic skin care consider EASE-Z Diabetics’ Dry Skin Therapy Lotion, an over-the-counter offering that uniquely features active Zinc Acetate to relieve and protect dry, cracked skin associated with diabetes. EASE-Z also is formulated with Shea Butter, Lecithin, and Glycerin to deliver deep hydration. The products cover the skin with a thick protective layer that penetrates to provide real, long lasting-relief.  It is unscented and non-greasy for added comfort. Daily use gives superior recovery and continuous relief, assuring long-lasting comfort. Learn more about Ease-Z.

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[1] “Diabetes Rash & Other Skin Conditions,” Cleveland Clinic, Accessed July 12, 2024. https://my.clevelandclinic.org/health/articles/12176-diabetes-skin-conditions

[2] “Diabetes and Your Skin,” CDC, Accessed June 28, 2024. https://www.cdc.gov/diabetes/signs-symptoms/diabetes-and-your-skin.html

[3] Higuera, Valencia, “Diabetic Dermopathy,” Healthline, May 19, 2023. https://www.healthline.com/health/diabetes/diabetic-dermopathy?slot_pos=article_1&apid=31785237&rvid=ff3682c0a5d675812854b627ce67e3a674b2214cecc85119663fda21af511fda

[4] “Diabetes Related Dermopathy,” Cleveland Clinic, Accessed July 12, 2014. https://my.clevelandclinic.org/health/diseases/22661-diabetic-dermopathy

[5] Higuera, Valencia, “Diabetic Dermopathy”

[6] 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://pubmed.ncbi.nlm.nih.gov/33324080/