

Having diabetes raises your risk of skin problems, among which dry skin is common.
Dry diabetic skin results from high blood glucose levels in the bloodstream, which causes the body to pull fluid from its cells so that it can produce enough urine to remove the excess sugar.[1] This leads to dry skin on the legs, elbows, feet, and other areas. In fact, dry skin may be the first sign someone has diabetes. An estimated 11.3 percent of people with diabetes report dry itchy skin.[2]
Winter’s impact on skin and feet
Winter can be especially hard on diabetic skin. Lower outdoor humidity and indoor and car heaters dry out skin, which loses water through evaporation. Winter itching can become a chronic problem. If dry skin becomes split or cracked, germs can get into these areas and cause infection.
As you think about how to prevent dry skin during chilly winter months, consider using a home humidifier. Regularly clean the machine to prevent it from clogging and to prevent bacteria and mold from forming.
Frostbite on toes can be another issue. You may have nerve damage (neuropathy) from diabetes, which makes it difficult to sense skin cracks, blisters, or wounds until they become severe. Prolonged periods outdoors in extreme cold may result in frostbitten toes without you realizing you have a problem.[3]
Take extra winter skincare precautions
Keep your blood sugar levels in their target range and check for skin changes to prevent problems that can lead to other health complications. Here are other winter skin care tips for diabetes:
Apply moisturizer often: Apply moisturizer more often during winter such as EASE-Z Diabetics’ Dry Skin Therapy Lotion and Diabetics’ Dry Skin Therapy Foot Cream. The over-the-counter offerings uniquely feature active Zinc Acetate to relieve and protect dry, cracked skin associated with diabetes. The products cover the skin with a thick protective layer that penetrates to provide real, long lasting-relief. They are unscented and non-greasy for added comfort. Daily use gives superior recovery and continuous relief, assuring long-lasting comfort.
Stay warm and covered: How to prevent dry skin in the winter means staying warm and covered up. Cold weather can deplete moisture from skin, which can affect circulation and worsen dry skin problems. For winter skincare, wear gloves, a scarf, and a hat that covers your ears. Dress in layers, for example, a tee-shirt under a long-sleeved shirt with a sweater over that. This way you can remove layers when you go indoors and are warm.
Take care of skin folds and crevices: After bathing or showering, make sure to dry skin fold aeras - between the fingers and toes, in the armpits, bends of the elbows, behind the knees, and in the groin area – to help prevent fungal infections. They can thrive wherever moisture gets trapped, or the skin experiences a lot of friction. Make sure to use a dry, clean tower to gently pat down these areas.
Stay hydrated: Dring plenty of water to keep your skin hydrated from the inside out. Drink water more often than fruit juice or soft drinks. Limit caffeine and alcohol, as they can contribute to dehydration.
Do not forget your lips: During the winter month, lips are prone to drying out and chapping. Keep lip balm with you and use it regularly in the cold.
Mind your feet: Wear moisture wicking cotton or wool socks and water-proof shoes to keep feet dry when outdoors. For spending extended periods of time outdoors in the winter, invest in good boots with a thick insulating sole.[4]
Use warm, not hot water: Hot water is drying. Bathe or shower with warm, tepid water. Do not soak in the tub for prolonged periods, which strips the skin of its natural oils. Instead of rubbing your skin, pat it dry using a soft, fluffy towel, which absorbs water easily. While skin is still damp, moisturize.
Avoid harsh skin cleansers: Soaps with deodorants and strong body washes can irritate your already sensitive skin. Use a gentle cleanser or one that is specially treated for people with diabetes. It will help soothe skin and prevent complications.
Use sunscreen: The temperatures may be falling, but the sun is still shining. Snow on the ground can reflect the sun and increase the severity of sunburn. Sun exposure can damage your skin’s ability to protect itself. A sunburn can raise your blood sugar levels through dehydration. Choose a broad-spectrum sunscreen with an SPF of 30 or higher. [5]
How to protect dry skin in the winter means taking extra precautions. Follow these tips and if you notice persistent dryness, redness, or signs of infection, contact your health care provider. Tackling problems early can prevent complications.
[1] “Diabetes and Your Skin,” CDC, Accessed September 10, 2023. https://www.cdc.gov/diabetes/signs-symptoms/diabetes-and-your-skin.html?CDC_AAref_Val=https://www.cdc.gov/diabetes/library/features/diabetes-and-your-skin.html
[2] Kleinman, Roberta, “Diabetes & Skin Care for Winter,” ADW Diabetes, January 23, 2023. https://www.adwdiabetes.com/articles/diabetes-skin-care-winter
[3] “Diabetes and Cold Weather: Seasonal Tips for Managing Your Health,” Baystate Health, December 6, 2022. https://www.baystatehealth.org/articles/diabetes-and-the-winter
[4] “Diabetes and Cold Weather: Seasonal Tips for Managing Your Health,” Baystate Health
[5] Santa Ana, Corrina, “Sunburn and Type 2 Diabetes Don’t Mix,” Type2 Diabetes.com, August 19, 2020. https://type2diabetes.com/living/sunburn