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Diabetes can affect the skin in a number of ways that can make a person feel less than comfortable. Dryness commonly leads to other skin problems such as itching (and often scratching), cracking, and peeling. Itchy skin is usually related to dryness, but it can also be related to poor circulation, especially in the legs and feet.
When blood glucose levels are high, a person with diabetes is more susceptible to infection. Ecthyma has many features similar to those of impetigo and can in fact result from untreated impetigo.
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. 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. When the lesions are large, painful, and fluctuant (they can be shifted and compressed), draining them via surgery is usually the best option.
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. Since the mortality rate (death rate) for infectious gangrene is high, it is important that it is diagnosed early and treated aggressively. 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). Candidiasis of the skin tends to occur in folds of skin such as the underarms, groin, under the breasts, and between the buttocks. The following skin conditions are strongly associated with having diabetes, but they can occur in people who don’t have diabetes as well. There is no cure for this condition, but it may improve with weight loss, topical bleaches, or a class of drugs known as keratolytics. Treatment of vitiligo is necessary only in people who have severe cases or who are considerably distressed by the condition. A number of factors make people with diabetes more likely to develop foot ulcers than those without diabetes.
Peripheral vascular disease is another factor that can contribute to the formation of foot ulcers in people with diabetes. Although there is no effective treatment for these conditions, they generally resolve on their own within six months to two years. Be sure to use mild or hypoallergenic varieties of products that come in contact with the skin, such as soaps, lotions, washes, and creams. Wearing shoes that fit is very important, since ill-fitting footwear is a major cause of foot ulcers. 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 physician. A large part of keeping your skin healthy involves maintaining practices that are good for your whole body, such as eating a balanced diet, drinking plenty of water, managing stress, and controlling your blood glucose level.
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First and foremost, there are two types of Diabetes, and they are very different from one another. Diabetes is a serious health condition that not only affects your lifestyle, but puts you at risk for other health conditions including high blood pressure, stroke, and nerve damage.  Many Americans are at risk for type 2 diabetes, and the numbers are growing yearly. One change that I always recommend to my clients when we discuss lifestyle-eating, and healthy living options that can be made, is to give up soda. People often look at me, horrified.  They would rather I ask them to nibble on a pigs ear!  Here are some facts for you about regular and diet sodas and what they do to your body and your mind. Fig:This 42 year old female LOST her BOTH EYES VISION due to several years of high blood sugars (uncontrolled). Glaucoma—increase in fluid pressure inside the eye that leads to optic nerve damage and loss of vision. GLAUCOMA - Treatment of this eye problem in diabetes can include special eye drops, laser procedures, medicine, or surgery. All people with diabetes should take precautions to help reduce their risk of developing eye problems.
Schedule regular appointments with your eye doctor so that any eye problem can be detected early and treated.Everyone with diabetes should get a comprehensive dilated eye exam at least once a year. Unfortunately for those of us who like a milky brew, the health benefits only come from black or green tea. Type 2 diabetes is caused by insulin resistance, which occurs when we stop being sensitive to insulin. High blood pressure affects eight out of 10 people with type 2 diabetes, and three out of 10 people with type 1 diabetes.
For those of us at risk of type 2 diabetes, three to five cups of black tea per day helps stop type 2 diabetes from developing. Tea contains theanine, an amino acid that controls blood pressure levels and lowers stress. Oats, green tea, newer varieties of breakfast cereals, herbal powders and medicines are some of these that are tried and tested not just by the ones suffering the medical conditions but also by people who want to take the road to good health. One of the biggest challenges in managing diabetes type 2 – (the condition in which the body is unable to use insulin hormone to digest glucose from the sugar) is, always having to watch what we eat in order to manage the condition.
Bad: There are certain high-carbohydrate vegetables too, which need to be taken in moderation. Bad: Refined flour which processed foods such as white breads, cookies, pastries etc are rich in, should be avoided.
Good: Naturally occurring fats, such as monounsaturated fats found in almonds, avocados or polyunsaturated fats found in sunflower seeds are good for the health of the heart. Bad: Refined oils that most of the junk foods are cooked in, cheese, and butter contain saturated fats are high calorie foods which are best avoided.
Good: Fresh fruits taken in moderation are good for the health as they are a rich source of dietary fiber and can also curb your craving for sugar.
Bad: Stay away from canned fruits which are preserved with tons of sugar or even fruit juices that are prepared using lot of sugar and do not have the nutrients of the whole fruit. Let’s first look at what brown rice is and how it is different from the regular, more popular version of white rice.
Helps to reduce weight: As brown rice is produced by merely removing the husk, the additional layers that white rice lacks, contributes to high fiber. Cuts risk of colon cancer: Brown rice is a rich source of selenium, a trace mineral that has several benefits to the body. Protects from free radicals: Brown rice is a rich source of manganese, yet another trace mineral, which protects cells from the effects of free radicals that are produced during energy release. Reduces the effects of cardiovascular conditions: For people, especially women in the post menopausal phase of life, consumption of brown rice often is highly beneficial, as it slows down the deposit of plaque that narrows the blood vessels. Reduces cholesterol: Brown rice contains natural oil that lowers the bad cholesterol or the LDL cholesterol.
Protection against heart disease: Brown rice consists of a phyto-nutrient known as plant lignan. Source of magnesium: Magnesium is a wonder mineral that has several positive functions in the body.
Prevents gall stones: Some studies have shown that consumption of brown rice can help avoid the development of gall stones. It is wonderful to take note that brown rice provides so many benefits and helps us lay a healthy foundation for a good life. To understand how brown rice helps manage diabetes type 2 better, it is important to understand a little bit of the digestion process. Now, in the case of brown rice, the grain is more fibrous as it has the two outer layers of bran and germ intact.
Brown rice is indeed a wonderful food for diabetics to keep their blood glucose levels under check. As brown rice contains more fiber, it takes little bit more effort in cooking this form of rice. It is never too late to switch to healthier forms of the foods that we are presently having.
Addison’s disease refers to a disorder which occurs due to lack of release of hormones by adrenal glands, or in other words, damage to the adrenal cortex. In fact, as many as a third of people with diabetes will have a skin condition at some point in their lifetime. When the blood glucose level is high, the body attempts to remove excess glucose from the blood by increasing urination.
This is typically due to atherosclerosis, a disease in which fatty plaques are deposited in the arteries. 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. 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. The main difference is that ecthyma goes into the deeper layers of the skin, forming ulcerations, which then become covered with thick crusts.
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.


Folliculitis, furunculosis, and carbuncles are all infections that arise in the hair follicles. Lesions usually improve on their own, but they heal faster with the use of antibiotic washes and creams. In these cases, the person should receive antibiotics until all evidence of inflammation has disappeared. Two of the more serious and complicated bacterial infections that occur in people with diabetes include cellulitis and infectious gangrene.
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.
Tinea pedis, or athlete’s foot, usually occurs in the web spaces between the toes or on the soles of the feet.
This condition begins with pustules on a red base that eventually result in softened, thickened areas of skin. Applying antifungal creams two to three times daily for approximately two to four weeks should clear the infection.
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. Vitiligo is a skin disorder that causes white spots or large areas of depigmentation to occur on various areas of the body. Treatment involves the use of steroids or chemical agents called psoralens that are either placed directly on the skin or taken orally. 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. This common skin condition is characterized by depressed, irregularly round or oval, light brown, shallow lesions. This is an uncommon condition in which blisters occur on the hands and feet and sometimes also the legs and forearms. Foot ulcers are a serious problem that can ultimately lead to amputation if left untreated. Because of the decreased blood circulation to the feet in this condition, there is an impaired delivery of oxygen, nutrients, and antibiotics.
This condition occurs in about 0.3% of people with diabetes and is three times more common in women than in men. Although topical steroids may halt progression of active lesions, it is very difficult to completely cure the affected areas.
Digital sclerosis is a condition in which the skin on the hands becomes thickened and waxy and may develop multiple, pebble-like growths. Products with additives such as fragrances or coloring can irritate the skin or cause an allergic reaction. Reactions to oral drugs may take the form of itching, rashes, or wheals, while reactions to insulin may appear as bumps, rashes, or depressions in the areas where insulin is injected. Since people with diabetes may not heal as well as others, it is important to give immediate attention even to cuts and wounds that seem minor. This means the feet should be inspected daily for cuts, sores, or other forms of irritation. 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. People who have not lost the protective sensation in their feet can choose off-the-shelf shoes. Good diabetes management is especially important, since many skin conditions are related to complications resulting from high blood glucose.
Many people engage in a variety of defenses and excuses when faced with the diagnosis of Type 2 Diabetes. Whether the patient is diagnosed with Type 1 or Type 2, the health care issues involved are painful and costly.  Peripheral neuropathy is a painful and difficult to treat complication of diabetes. RAVIKUMAR MUPPIDI DM EndocrinologyAdvanced Endocrine Hospital & Research Centre KPHB Hyd.
High blood pressure by itself can lead to eye disease, so if you have high blood pressure as well as diabetes, it is especially important that you take steps to control both conditions.
He was born in Coventry and enjoys novels in which nothing much happens and comfortable pyjamas (because he's young and exciting). Not being sensitive to insulin means the pancreas has to produce more and more, which can destroy insulin-producing cells over time. True to this adage, the clutches that modern lifestyle conditions such as diabetes have over us have paved ground for the mushrooming of several health and food-related businesses. Our ancestors or even family members belonging to the older generation however did not allow these conditions to take control of their lives.
There is a stark increase in the blood sugar level upon eating even a small quantity of food. In general, it is important to watch out for foods that have a high level of carbohydrates as they are easily broken down to glucose, which is difficult for the insulin-resistant body to convert to energy.
There are however different forms of this wonder grain each created through variety of processes and each differing in its effects on our health. White rice is produced by removing further two layers, the bran and the germ, leaving behind the endosperm.
Additionally, manganese also provides the body energy by helping in carbohydrate and protein digestion. It is in fact a key nutrient that our body requires to moderate the action of calcium and keeping our nerves and muscles regulated. When we consume food, the acids, enzymes and the other processes break down the food into simple elements that can be absorbed by the intestines. It in fact comes as a surprise that rice was at one point in time consumed in its healthy whole format. Learning new varieties of recipes with such healthier alternatives makes our culinary experiments interesting. The risk factors involved in the autoimmune Addison’s disease also include other autoimmune diseases, such as chronic thyroiditis, dermatis herpetiformis, hypoparathyroidism, Graves’ disease, hypopituitarism, pernicious anemia, myasthenia gravis, testicular dysfunction, vitiligo and type I diabetes. While some conditions may appear uniquely in people with diabetes, others are simply more common in people with diabetes. Fungal infections, which can be more common when a person has high blood glucose, can also be very itchy. The following are some of the more common bacterial infections in people who have diabetes. 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. The nodules usually enlarge, become painful, and rupture after several days, forming abscesses (swollen areas containing pus). Simple furunculosis is treated by the local application of antibiotic creams and warm, moist compresses, which relieve discomfort and promote drainage.
After the lesion is drained, the area should be covered with a thin layer of antibiotic ointment and a sterile dressing. Cellulitis is an infection that spreads through the deeper layers of the skin as well as the fat layer directly underneath the skin.
Once oral or intravenous antibiotics are started, the average time for healing is 12 days, with a range of 5—25 days.
The condition generally begins as cellulitis, which is followed by fever and other generalized symptoms as the infection rapidly spreads. Lesions are itchy and may develop vesicles (sacs filled with air or fluid) or may simply be red and scaly.
Keeping the affected areas dry, and using medicated powders in skin folds to reduce friction and moisture are also helpful measures. 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. 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.
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.
Lesions may vary in number from few to many and are usually found on both legs but are not symmetrically distributed. The blisters are unrelated to trauma or infection; they develop spontaneously and may become quite large.
Ulcers often begin as a result of minor trauma, such as irritation from ill-fitting shoes that goes unnoticed or untreated. Almost all people with diabetes who develop typical foot ulcers have neuropathy that affects their motor, sensory, or autonomic nerves.
Lesions tend to form on the fronts and sides of the lower legs, although they may also occur on the face, arms, and trunk. Scleredema audoltorum is a similar condition that affects the back and sides of the neck, with the possibility of painless swelling spreading to the face, shoulders, and upper torso. Keep areas of the skin that are susceptible to infections, such as the underarms, groin, area under the breasts, neck, web spaces of the feet and hands, and inner thighs clean and dry. If you suspect you are allergic to one of your diabetes drugs, inform your health-care provider. Injuries to the skin should be kept covered and inspected on a regular basis to make sure they are not worsening. 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.


By sticking with healthy habits and keeping an eye on your skin, you can avoid many common ailments and be happy with the skin you’re in.
Consult appropriate health-care professionals before taking action based on this information.
Unfortunately, ignoring the information isn’t an answer that will help or resolve anything. A chat with our grandmother would help us make the revelation that there are indeed several forgotten recipes and foods that were not only a treat to our taste buds but were also full of goodness and health. While there is no cure for this condition, regular physical activity and controlled eating patterns can help in management of the condition. It is shown that selenium inhibits proliferation of cancer cells and also repairs of DNA of damaged cells.  In addition to this selenium works together with Vitamin E and helps prevent heart disease, decreasing symptoms of asthma, and controlling the effects of rheumatoid arthritis.
These lignans are found to be having functions of reducing the risk of breast, other hormone-dependent cancers and other heart diseases.
This further has effects in lowering high blood pressure, reducing effects of asthma and also reducing the risk of stroke and heart attack. When white rice is consumed, it is easily broken down to the elemental form of the carbohydrate – glucose. Experts suggest that brown rice went out of fashion as it doesn’t look good or taste as good as white rice.
Some of the common recipes include brown rice salad, fried brown rice, brown rice pie and so on.
Please no link dropping, no keywords or domains as names; do not spam, and do not advertise! The symptoms of Addison’s disease include changes in heart rate or BP, chronic diarrhea, skin darkening, paleness, weakness, fatigue, loss of appetite, mouth lesions in the inner cheeks, vomiting, nausea, salt craving, weight loss and unnatural dark color in some areas. 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.
Dry skin can also be caused by neuropathy (damage to the nerves) by affecting the nerves that control the sweat glands. The best way to moisturize is to apply lotion or cream right after showering and patting the skin dry.
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. 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. 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. 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. The area then becomes dusky blue in color, and blisters appear and rupture, forming areas of black skin.
Infections that don’t respond to topical treatment may be treated with oral antifungal medicines.
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), acromegaly, Cushing syndrome, and 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. The use of steroid creams or ointments or steroid injections is sometimes used to treat lesions. Because these lesions do not itch, hurt, or open up, they are often overlooked and not reported to the health-care provider.
However, they are usually not painful and typically heal without scarring in several weeks. Approximately 15% of people with diabetes develop a foot ulcer at some point in their lifetime.
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. 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). 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. Unfortunately, not even the normalization of blood glucose levels is sufficient to control this skin condition in many cases. If necessary, use antichafing powders or creams and choose proper clothing that allows air to circulate. The hands and feet should be inspected daily for the presence of cuts or scrapes, since these parts of the body may have decreased sensation due to neuropathy, and wounds may therefore go unnoticed.
The width of the shoe should accommodate the ball of the foot, and the toes should not be cramped.
People suffering from these conditions are willing to give almost all of these a try and end up getting disappointed when they don’t see the desired results in their health or well-being. Comfort and convenience have driven us to choose processed foods, which have short and long term effects on the body and health. Processing of rice to enhance its taste has led to health problems taking control over our lives. Brown rice requires a little lesser amount of water than what is used for cooking white rice.
In these cases, neuropathy causes a decrease or absence of sweating that may lead to dry, cracked skin. This infection most often arises on the face, arms, legs, buttocks, hands, and skin folds such as the underarms and groin. 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. This can spread bacterial infection to many of the body’s organs, including the heart, brain, and kidneys. 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. Neuropathy of the sensory nerves results in loss of protective sensation to pain, pressure, and heat. 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. Dryness and itching can be self-treated, but more serious conditions should be brought to the attention of a doctor. Selecting a store with a certified pedorthist on staff is a good idea, since this person will know the subtle differences between various styles. This combined with sedentary lifestyle and lack of exercise invites lifestyle conditions to become an integral part of our lives. Apart from being fibrous, the magnesium in brown rice is responsible for acting as a co-factor for over 300 enzymes.
It is indeed high time we start including this brown, nutty, chewy and more superior form of rice to our diet and take the road to good health.
Skin that is severely dry may require application of heavy-duty emollients 2—3 times a day.
The lesions feel hard to the touch, and there is no clear line between skin that is infected and skin that isn’t infected. 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.
People with sensory neuropathy may therefore not be aware of cuts, abrasions, and calluses that can lead to ulcers.
It may then become depressed and turn a brownish-yellow color, except for the border, which remains red. People who live in hot, humid areas should change their clothing once it becomes wet from perspiration. A wonderful aspect about eating brown rice is that, it gives us the satiety in just small quantities.
This condition usually affects the face and extremities, and sometimes it also occurs on the trunk. Tinea corporis, or ringworm, presents as multiple red or pinkish circular lesions with a distinct, scaly border.
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. Affected areas may lack sensation because of the destruction of some nerves and nerve endings. By eating just a small portion, we feel full and get the satisfaction of having had a wholesome meal.
Neuropathy of the autonomic nerves can lead to warm, excessively dry feet that are prone to skin damage.
It is heartening to see that brown rice is starting to move from the shelves of organic food stores to supermarkets, thereby increasing our access to it. 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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