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Disseminated Granuloma Annulare.</h1> </div> <div id="view_game_9520212" class="view_game_page page_widget base_widget direct_download"> <div class="header_buy_row"> <p>Diabetes related skin conditions. Abnormal thyroid function can alter how your body responds to insulin. This is a common condition associated with diabetes. It can also cause loss of feeling in the foot, so Dry skin is a common ailment associated with diabetes and can be controlled using skin care applications and avoiding hot baths or showers. DermNet features a database of thousands of pages covering almost every known skin condition. Over time, the bumps turn into patches of swollen skin that is yellow, reddish or brown in color. Kidney Disease and Diabetes. Treatment of type 2 diabetes mostly involves lifestyle A slowly progressing skin condition, which turns some areas of skin, usually in the folds or creases, into dark, thick and velvet-textured skin. 5. If this becomes more like your daily greeting, it could signal something deeper: fluid retention linked to diabetes. A variety of dermatologic manifestations have been linked with diabetes mellitus; these Aug 30, 2016 · Abstract. loss of feeling and pain (nerve damage) foot problems, like sores and infections, which could lead to amputation if not treated. Here's a list of ways to help prevent such skin complications: Blood Glucose Control: Maintain target blood glucose levels through regular monitoring, medication adherence, and lifestyle modifications. Osteoporosis. Tendon reflexes. Skin between the toes tends to stay moist. The skin on the hands may become waxy and thickened. Oct 12, 2022 · Skin Problems Caused by Diabetes. Diabetes-related neuropathy (nerve damage). Cutaneous disease can appear as the first Oct 6, 2023 · Prevention and Management of Diabetes-Related Skin Issues Maintaining Proper Blood Sugar Levels. However, Skin Conditions. For some people with type 1 diabetes, pancreas transplant or islet cell transplant may be an option. Here are some common diabetes-related skin problems: 1. Rarely, knees, ankles, or elbows also get stiff. Other factors like medication, skin conditions, and problems with your kidneys or liver may also play a role. People may sometimes refer to the condition as pigmented pretibial patches or Jan 15, 2019 · Skin care is an important factor for people with diabetes. Diabetes can cause permanent vision loss by damaging blood vessels in the eyes. Results: There were (51. Peripheral neuropathy: Most commonly affects your feet and legs and sometimes affects the hands. Diabetics are more susceptible to bacterial and fungal infections; allergic reactions to medications, insect bites or foods; dry itchy skin as a result of poor blood Jun 8, 2020 · Over time, having too much glucose in your blood can cause complications, including: Eye disease, due to changes in fluid levels, swelling in the tissues, and damage to the blood vessels in the eyes. May 13, 2023 · Abstract. People with diabetes can develop many different foot problems. Dry, itchy skin: High blood sugar and certain skin conditions can cause dry, itchy skin. However, Preventing diabetes-related skin conditions involves maintaining overall skin health and managing blood glucose levels effectively. However, patients may manage their conditions by taking a few steps. Look for blisters , cuts, cracks, sores, redness, white spots or areas, thick calluses , discoloration, or other changes. Aug 11, 2020 · Men had higher proportions of fungal skin infections, and women had more benign tumors. Gastroparesis. Infections and Diabetes. Skin problems don’t just stop as an early sign of diabetes. cutaneous infection, dry skin, pruritus. Diabetes-Related Skin Conditions Digestive. The association is even stronger if you are overweight or obese. High blood sugar (glucose) can injure nerves throughout the body. Dry, red, and irritated skin also can result from damage to nerves (diabetic Dec 12, 2022 · Still, skin conditions related to this disease are common. It might just be a stormy sleep night. Darkened skin that feels velvety to the touch. Vitiligo often affects the chest and abdomen, but may be found on the face around the mouth, nostrils, and eyes. Skincare Tips for Diabetics. If you have poor blood circulation, your lower legs may itch the most. The changes in the blood vessels cause brown scaly patches to appear on the shins, or front part of the legs. Mar 6, 2024 · Type 2 diabetes is a chronic health condition characterized by high blood glucose (sugar) levels. It is sometimes inherited, but is usually triggered by high insulin levels. You need to keep an eye on your health and have regular check-ups if you have type 2 diabetes because it can lead to: heart disease and stroke. Gum disease and other dental problems, because a high amount of Apr 2, 2024 · Causes of Diabetic Itching. If you have diabetes and notice any changes in your skin, such Diabetes-Related Skin Conditions. The intensity ranges from mild to severe. The finger joints stiffen and become difficult to move. These rashes can affect different parts of the body (legs, feet, but also hands, neck, shoulders, etc. 8%) respondents. Moisturizers can help. Women are more commonly affected than men. Proximal neuropathy: Leads to weakness in hips, thighs, buttocks Mar 27, 2024 · Treatments for type 1 and type 2 diabetes. 3% (95% CI: 63–76. Necrobiosis diabeticorum» This condition appears as thick, waxy and tight skin on toes, fingers and hands, which can cause stiffness in the digits. Frequent bleeding. Several diabetic skin conditions can occur, including: Diabetes-Related Skin Conditions It is estimated that about one-third of people with diabetes will have a skin disorder at some time in their lives caused by the disease. Oct 19, 2023 · A rare skin condition, necrobiosis lipoidica diabeticorum, or NLD, may develop as a complication of type 1 or type 2 diabetes. Some of the main ones include: Diabetic dermopathy. Diabetes affects over 30% of patients with skin problems. Apr 21, 2022 · Diabetes mellitus is a common and debilitating disease that affects a variety of organs including the skin. Discharge of fluid or pus. Smoking and Diabetes. Diabetes-Related dermopathy is a skin condition that affects the small blood vessels in the legs. Alzheimer’s disease and dementia Jan 30, 2023 · Diabetes symptoms are caused by rising blood sugar. Moreover, according to the meta-regression analysis, the effect of ‘sample size’ on th prevalence of skin lesions was significantly different in diabetes patients ( p < 0. Bacterial infections such as styes, boils, and folliculitis. Prevention. Caused by changes in the small blood vessels, diabetic dermopathy typically looks like light brown, scaly skin patches that are round or oval in shape. Infections, poor healing, and dry skin are the most common skin changes that affect people with diabetes. Apr 15, 2024 · High blood glucose levels ( hyperglycemia) are behind most of the skin problems caused by diabetes. Characterized by the darkening and thickening of the Mar 11, 2022 · Key takeaways: High blood sugar in both Type 1 and Type 2 diabetes can affect the skin. 5 (LADA) are the same, but they occur in a shorter period than types 2 and 1. Types of skin conditions. If you have corns or calluses, talk with your foot doctor about the best way to care for these foot problems. Even ordinary problems can get worse and lead to serious complications. Diabetes is a serious disease that affects many older adults. Foot problems, caused by damage to the nerves and reduced blood flow to your feet. Living with diabetes can also affect your mental health. g. Mar 28, 2023 · The most effective treatment option for many diabetes-related skin conditions is effective blood sugar management. In children, small scars (<3 mm), redness, and lipohypertrophy around the infusion site (described above) are the most common skin conditions. To keep your skin healthy Mar 28, 2011 · Vitiligo, a skin problem more commonly associated with type 1 diabetes than type 2 diabetes, affects skin coloration. Common sites of yeast infections are the mouth, genitals (vagina, foreskin) and skin folds. Foul smell. Additionally, 1/3 of those with diabetes encounter a skin condition during their life. Insulin, a hormone made by the pancreas, helps glucose get into your cells to be used for energy. Powder will keep the skin dry to help prevent an infection. Below are some skin conditions associated with diabetes: Yeast (candida) infections Yeast thrives on sugar, and yeast infections especially occur when the blood sugar is not well controlled. Diabetes and skin health are closely tied to fluctuations in blood sugar levels. diabetes-related skin conditions Oct 20, 2022 · On the flip side, thyroid disease increases your risk of developing metabolic syndrome or type 2 diabetes. Mar 15, 2021 · Abstract. May 9, 2020 · How diabetes can cause itchy skin. Gum disease and other oral health problems. Depending on the affected nerves, diabetic neuropathy symptoms include pain and numbness in the legs, feet and hands. Wrong. 1. The spots are often confused as age spots, and are painless and harmless. Foot problems most often happen when there is nerve damage, also called neuropathy. Itchy skin. 02%), group 3 (22. As many as 1 out of 3 people with diabetes will have one. OVERVIEW Around 537 million adults around the world live with diabetes. It is often painless, but can cause decreased sensation of the fingers. The finger joints become stiff and can no longer move the way they should. Skin disorders, usually neglected and frequently underdiagnosed among diabetic patients, are common complications and encounter a broad spectrum of disorders in both type 1 and type 2 diabetes mellitus (DM)—e. Jul 20, 2023 · Diabetes-Related Skin Problems: Causes and Treatment. You wake up, glance in the mirror, and there it is - those puffy eyes staring back at you. these changes are more common in type 1 patients. A red or reddish-brown rash that forms a bull’s eye on the skin, usually on the fingers, toes or ears. Diabetics are more susceptible to bacterial and fungal infections; allergic reactions to medications, insect bites or foods; dry itchy skin as a result of poor blood Mar 14, 2023 · When an overgrowth of Candida develops on the skin, an infection can occur. Pinnacle Dermatology - Sandusky. Diabetes Canada reports that rough, dry and scaly skin affects at least 75% of people with Deodorant soaps and strong body washes can irritate your already sensitive skin. Acanthosis Nigricans is thought to be a visual manifestation of insulin resistance. 05). Treatment for type 1 diabetes involves insulin injections or the use of an insulin pump, frequent blood sugar checks, and carbohydrate counting. 95%) respondents in group 1, group 2 (24. Depression and Diabetes. Skin conditions can be more likely amongst diabetics, and reduced sensitivity of nerves and circulation can often make it harder to spot emerging skin problems. A red or reddish-brown rash that forms a bull's eye on the skin, usually on the fingers, toes or ears. A variety of dermatologic manifestations have been linked with diabetes mellitus; these Sep 15, 2023 · About a third of type 1 diabetes have digital sclerosis — thick, tight, waxy skin that develops on the backs of the hands. Mononeuropathy: Damage to a single nerve, such as in your hand or leg. The good news is that the six most common conditions affecting people 70 and older don’t necessarily need medical attention. Acanthosis nigricans. A study of 750 patients with diabetes found that the most common skin manifestations were cutaneous infections (47. Oral health issues, such as gum (periodontal) disease. Jul 22, 2021 · However, diabetes can also lead to various skin conditions, ranging in severity. Learn ways to take care of your skin and about the different types of diabetes-related skin conditions so you know what to discuss with your health care team. Sensitivity to touch, pain, temperature and vibration. Finding help and support. The growing understanding of healing and regenerative mechanisms has elucidated critical regulators of this process, including key cellular and humoral components. Dental Problems in Feb 12, 2024 · Dry well by patting gently. General symptoms. Some other tips to care for your skin: Use lip balm to prevent chapped lips. When itching is a symptom of diabetes, it's usually due to high blood sugar, which can cause dry skin, poor circulation, or certain infections. losing weight unintentionally. Hearing loss. ) and have various appearances depending on the cause – yellowish, reddish, darker, hardened skin, blisters, etc1. Individuals with type 2 diabetes are more likely than those with type 1 diabetes to develop cutaneous manifestations. Sometimes this Sometimes, people with diabetes develop tight, thick, waxy skin on the backs of their hands. Alopecia areata, losing your hair in small patches. Diabetes may increase the risk of skin infections, mouth infections and gum disease. Most skin changes occur when diabetes isn’t controlled well enough with diet and/or medications. With the global prevalence of type 2 diabetes mellitus steeply rising, instances of chronic, hard-healing, or non-healing diabetic wounds and ulcers are predicted to increase. Skin disorders are highly associated with increased risk of important outcomes, such as skin lesions, ulcerations and diabetic foot, which Pinnacle Dermatology - Charlotte - Arboretum. Diabetes-related skin conditions are typically the result of persistently high blood sugar levels. Untreated, the disease advances in stages, from inflamed gums to tooth loss. Over time, diabetes can damage blood vessels in the heart, eyes, kidneys and nerves. Disseminated Granuloma Annulare. Getting blood glucose levels back to normal helps alleviate this skin condition. 5%), xerosis (26. ARTICLE CONTINUES AFTER ADVERTISEMENT. Erectile Dysfunction. Understand diabetes-related skin conditions, their causes, symptoms, prevention, and treatment. Pain. Amputations. 7%). This condition is known as candidiasis of the skin, or cutaneous candidiasis. It leads to slightly darker, velvety patches of skin that form in the neck, armpits, groin, or other folds of skin. An underactive thyroid may even contribute to low blood sugar levels. Don't rub. Skin conditions, like dry skin and bacterial and fungal infections. Swelling. It can be caused by a yeast infection, dry skin, or poor Mar 15, 2024 · Diabetic Nephropathy (Kidney Disease) Diabetic Neuropathy (Nerve Damage) Diabetic Retinopathy (Eye Damage) Gastroparesis. Fungal infections Nails, feet and skin fold areas may be affected. This condition often begins as small, raised bumps that look similar to pimples. Type 2 diabetes, the most common type of diabetes, is a disease that occurs when your blood glucose, also called blood sugar, is too high. Fortunately, most can be successfully treated before they turn into a serious Jul 7, 2023 · Check your skin every day, and pay special attention to your feet. Sep 21, 2022 · Diabetes rash can refer to several skin conditions that may be associated with diabetes, but the most common is acanthosis nigricans. The skin on our feet need particular attention as the presence of diabetic neuropathy can sometimes lead to skin issues not Diabetes-related foot conditions. 4%), and inflammatory skin diseases (20. Swollen, Puffy Eyelids as a Warning Sign. There are also several skin conditions that only affect people with diabetes. Between thirty and seventy percent of patients with diabetes mellitus, both type 1 and type 2, will present with a cutaneous complication of diabetes mellitus at some point during their lifetime. This includes keeping the skin clean and dry, moisturizing regularly, wearing comfortable and breathable clothing, and avoiding scratching or picking at the skin. A gentle cleanser or one specially formulated for people who have diabetes helps to soothe your skin and prevent complications. This disease is associated with numerous microvascular and macrovascular consequences. 100 W Argyle Street, Unit 2 Sandusky MI 48471. Foot problems, including ulcers and infections that can lead to gangrene and possible amputation. Diabetes-Related Skin Conditions It is estimated that about one-third of people with diabetes will have a skin disorder at some time in their lives caused by the disease. View All Locations. Smooth corns and calluses gently. Nov 15, 2023 · Schedule two to four diabetes checkups a year, in addition to your yearly physical and routine eye exams. People with Type 1 diabetes have a high risk of osteoporosis. Aug 7, 2023 · One of the skin conditions related to unbalanced blood sugar management, when living with Type 1 diabetes, is skin rash. These are usually the neck, armpits, groin and joints such as of the fingers and toes. Diabetes-Related dermopathy. Common Skin that is dry, inflamed, and irritated can likewise result from diabetic neuropathy — a result of nerve damage, particularly in the feet and legs. Blood glucose is your main source of energy and comes mainly from the food you eat. The symptoms of type 1, type 2, and type 1. Nov 8, 2023 · Diabetes-related nephropathy (kidney disease). Hot water can strip your skin of moisture, leaving it feeling dry, tight, and uncomfortable. Here are a few of the most common diabetes-related skin conditions: 1. Atopic dermatitis (eczema), dry, itchy skin that leads to swelling, cracking or scaliness. occur in up to 50% of the patients. Additionally, risk factors for type 2 diabetes are also risk While preventive measures and self-care play a critical role in managing diabetes-related skin conditions, it is vital to seek medical assistance when necessary. Diabetes can impact the body’s largest organ—your skin. The good news is that you can take steps to delay or prevent type 2 diabetes, which is the most common form of the disease to develop in older adults. This can cause tingling, pain (burning or stinging), or weakness in the foot. Diabetes occurs when a person’s blood glucose, also called blood sugar, is too high. While its cause is unknown, research shows it may be due to poor circulation that Mar 21, 2024 · Symptoms of diabetes-related foot conditions vary based on the type. If you already have diabetes, there are ways Diabetes-related skin conditions. With vitiligo, the special cells that control skin color are destroyed, resulting in patches of discolored skin. People with diabetes have a higher risk of health problems including heart attack, stroke and kidney failure. Skin issues are a common complication of diabetes. Jan 26, 2024 · Digital sclerosis that occurs in people with diabetes is characterized by thickened and tightened skin of the fingers that is waxy in appearance. 22%) and group 4 (1. During the physical, your health care provider will ask about your nutrition and activity level and look for any diabetes-related complications — including signs of kidney damage, nerve damage and heart disease — as well as screen for other medical problems. Learn more about skin complications May 19, 2023 · Diabetic dermopathy is a condition that causes small lesions to appear on the skin, typically on the shins. Skin infections. Health problems. Diabetes-Related Ketoacidosis (DKA) Diabetes-related ketoacidosis (DKA) is a life-threatening condition that affects people with diabetes and those who have undiagnosed diabetes. These conditions can manifest as dry skin, itching, and, in some cases, more severe complications such as infections or lesions. Nerve Pain and Diabetes. Digestive problems, including Apr 2, 2024 · Skin and mouth conditions. Seborrheic keratoses (78 percent) Getty Images. The most common long-term diabetes-related health problems are: damage to the large blood vessels of the heart, brain and legs (macrovascular complications) damage to the small blood vessels, causing problems in the eyes, kidneys, feet and nerves (microvascular complications). Fungal infections: A yeast called Candida albicans causes most fungal infections in people with diabetes. Acanthosis nigricans is characterized by the appearance of raised tan or brown patches on the neck, underarms, and groin and less commonly on the hands, elbows, and knees. In those over age 75, the incidence of diabetes and skin complications is even higher. But if caught early, most skin conditions can be prevented or easily treated. Definition. Patients may suffer from allergies, infections, dry or itchy skin, and other problems. Thick patches of skin called corns or calluses can grow on the feet. Other joints can be affected, including the shoulders, feet and ankles. Dermatologists and healthcare professionals experienced in diabetes care can provide essential guidance, diagnosis, and treatment options tailored to individual needs. Diabetes is a widespread noncommunicable disease affecting millions of people globally, and it is accompanied by various complications ranging from minor to major. Many major organs, including the heart, blood vessels, nerves, eyes, and kidneys can be affected. You'll find these below along with pages on treatments, histopathology and general topics such as what is a dermatologist? All our content is written by medical professionals and reviewed by dermatologists before being published. Yellow, red, or brown patches. But in general, you should look out for the following symptoms: Any changes to your skin or toenails, like cuts, blisters, calluses or sores. Bathe and shower using warm (not hot) water. Some of the most common skin diseases include: Acne, blocked skin follicles that lead to oil, bacteria and dead skin buildup in your pores. Types of diabetes-related neuropathy include: Autonomic neuropathy: Damage to nerves that control your organs. Along with the physical exam, your Jun 5, 2019 · Diabetic dermopathy, or shin spots, is one of the most common skin complications for those with diabetes. To prevent Sep 9, 2020 · After evaluating the 22 final articles with a total sample size of 8406, the prevalence of skin lesions among diabetes patients were found as 70. Some of those skin diseases are more specific for diabetes than others and some are more frequent in Type 1, others in Type 2 or both types of diabetes mellitus. Others cause severe symptoms. Feb 14, 2024 · Diabetes-related skin conditions include: bacterial infections, such as boils, styes, and folliculitis; fungal infections, such as athlete’s foot, ringworm, and yeast infections; Aug 30, 2016 · Skin disorders, usually neglected and frequently underdiagnosed among diabetic patients, are common complications and encounter a broad spectrum of disorders in both type 1 and type 2 diabetes mellitus (DM)—e. celsopupo/iStock via Getty Images. ITCHING Localized itching is often caused by diabetes. Gum disease, also called periodontal gum disease, is the most common and serious mouth problem related to diabetes. Jan 19, 2024 · Limited joint mobility, also called diabetic hand syndrome or diabetic cheiroarthropathy, is stiffness of the joints most often affecting the small joints of the hands. The American Diabetes Association explains that persistently high blood sugar levels will: Feed and fuel the growth of fungus; Damage and destroy the cells of your skin Apr 29, 2022 · Your health care provider can usually diagnose diabetic neuropathy by performing a physical exam and carefully reviewing your symptoms and medical history. Sexual dysfunction due to nerve and blood vessel damage, such as erectile dysfunction or vaginal dryness. Fungal infections such as yeast infections, ringworm, and athlete’s foot. 7%) ( 2 ). One in three people with diabetes will experience a skin issue that is either caused by or affected by diabetes. Skin discoloration. Osteoporosis is a disease that causes your bones to become weak and brittle, making them more prone to fracture. Instead, your body breaks down fat for energy, which causes your body to release ketones. Indeed, diabetes is closely tied to skin disorders. Some skin diseases are minor. Acanthosis nigricans often precedes the diagnosis of diabetes. It’s often misdiagnosed as simple age spots, which makes it doubly important to keep an eye out for. Feb 14, 2024 · Diabetes-related skin conditions include: bacterial infections, such as boils, styes, and folliculitis; fungal infections, such as athlete’s foot, ringworm, and yeast infections; Apr 5, 2023 · feeling tired. Among the complications, skin problems are highly prevalent in diabetic patients, including dry skin, itching, redness, scarring, and edema. Focus on underarms, between legs, under breasts, and between toes. Sometimes skin on the toes and forehead also becomes thick. It’s marked by circular, scaly, light brown patches on the skin, most often on the shins, and caused by reduced blood circulation in This condition appears as thick, waxy and tight skin on toes, fingers and hands, which can cause stiffness in the digits. It can occur at any age and usually strikes people who are obese. A wide range of skin conditions and dermatological issues may come with a diabetes diagnosis. Oil baths, ointments or creams containing urea and quite often the assistance from skin specialists (dermatologists) help. However, in severe cases, a doctor may prescribe oral steroids, medicated creams Jan 15, 2019 · This condition is fairly common and is basically a darkening of the skin at particular points on the body, where the skin folds. The skin can also become thicker and leathery. These conditions are more common in patients with prior history of eczema. Colds, Flu, and Apr 29, 2021 · Diabetic dermopathy is a skin condition that commonly appears on the lower part of the legs in people with diabetes. In the Dec 17, 2015 · Patients with diabetes may have thickening and hardening of the skin (select the wrong answer): of the dorsal region of the toes as well as the epidermis overlying the joints of the foot and toes. High levels of blood glucose increase the risk that gum disease will progress from mild to severe. Digital sclerosis develops slowly over time in a symmetrical fashion, affecting both hands, especially on the back of the fingers. Your health care provider typically checks your: Overall muscle strength and tone. Dryness is usually accompanied by severe itching. Eventually finger movement is limited. It happens when your body does not have enough insulin to use sugar for energy. Jun 11, 2016 · Luckily, most skin conditions can be prevented or easily treated if caught early. Oct 6, 2023 · It is important for people with diabetes to take extra care of their skin to prevent and manage these skin conditions. Microvascular problems are caused by the body’s extremely . Other parts of the body can also be affected by diabetes, including Preventing diabetes-related skin conditions involves maintaining overall skin health and managing blood glucose levels effectively. Early diagnosis and treatment from an experienced skin specialist are key to dealing with diabetes-related skin conditions, managing resulting symptoms, and preventing other health complications. Skin disorders are highly associated with increased risk of important outcomes Apr 29, 2022 · Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. Check your blood sugar regularly and follow your healthcare provider’s treatment plan. vision loss and blindness. Discover products for managing skin issues associated Related Conditions. Skin Problems. Keeping blood sugar levels within the target range can help prevent skin problems related to diabetes. Too much sugar in the blood prompts the body to pull fluid from cells in order to produce enough urine to remove the sugar, which in turn makes skin dry (xerosis). This condition happens to about one third of people who have type 1 Common skin conditions due to insulin pumps include itching, chronic wounds, and skin irritation or nonspecific eczema. Uncontrolled diabetes can result in hyperglycemia, or elevated blood glucose levels. Skin Conditions and Diabetes. View full-sized image Gum disease advances in Apr 2, 2019 · Diabetes-Related Skin Conditions It is estimated that about one-third of people with diabetes will have a skin disorder at some time in their lives caused by the disease. Preventing diabetes-related skin conditions involves maintaining overall skin health and managing blood glucose levels effectively. Diabetic neuropathy most often damages nerves in the legs and feet. Infection. This skin condition has a long and difficult name, but it’s one of the most commonly found in people with diabetes. 3111 Springbank Lane, Suite J Charlotte NC 28226. Diabetics are more susceptible to bacterial and fungal infections; allergic reactions to medications, insect bites or foods; dry, itchy skin as a result of poor blood Jun 3, 2023 · The skin is often involved in diabetes mellitus as well as in side effects of medications used to treat diabetes. Here […] Nov 5, 2020 · Quality of life assessment was performed using the Skindex-29 questionnaire, and the Nijsten categorization was used to assess the impact of skin changes in patients with type 2 diabetes mellitus on quality of life. 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