The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights

Introduction and purpose Diabetes mellitus (DM) is a chronic disease with a growing global prevalence, affecting 8.3% of adults, with a significant proportion remaining undiagnosed. The condition impacts multiple organ systems, including the skin, where manifestations often represent the earliest...

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Main Authors: Aleksandra Kutaj, Zuzanna Adamowicz
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-02-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/57533
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author Aleksandra Kutaj
Zuzanna Adamowicz
author_facet Aleksandra Kutaj
Zuzanna Adamowicz
author_sort Aleksandra Kutaj
collection DOAJ
description Introduction and purpose Diabetes mellitus (DM) is a chronic disease with a growing global prevalence, affecting 8.3% of adults, with a significant proportion remaining undiagnosed. The condition impacts multiple organ systems, including the skin, where manifestations often represent the earliest and most visible signs of metabolic dysregulation. Skin changes associated with DM, such as acanthosis nigricans, xerosis, diabetic dermopathy  and necrobiosis lipoidica, not only highlight underlying metabolic disturbances but also provide valuable non-invasive tools for monitoring glycemic control and disease progression. Material and methods This study is based on a comprehensive review of recent literature focusing on the skin manifestations and clinical implications of diabetes mellitus -related skin changes. Description of the State of Knowledge Hyperglycemia disrupts normal cellular processes in the skin, leading to impaired wound healing, increased oxidative stress, and inflammation. These pathological changes contribute to various dermatological symptoms, including xerosis, pruritus, erythema, and fibrosis. Skin changes, such as diabetic dermopathy, necrobiosis lipoidica, and recurrent fungal infections, are not only indicators of DM but also reflect glycemic control and disease severity. These manifestations can signal undiagnosed diabetes or poorly controlled blood glucose levels, offering a non-invasive method for disease monitoring. Conclusions Skin manifestations are vital diagnostic tools in diabetes care, providing early indications of metabolic imbalances and poor glycemic control. Their presence underscores the need for timely interventions, including lifestyle modifications, pharmacological treatments, and patient education. Dermatological assessments, particularly in resource-limited settings, offer an accessible approach to monitoring therapy effectiveness and predicting complications.
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spelling doaj-art-b6a8f7ab4749488cb365ac2a203920972025-02-06T08:18:21ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-02-017810.12775/JEHS.2025.77.57533The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical InsightsAleksandra Kutaj0https://orcid.org/0009-0001-5145-0752Zuzanna Adamowicz1https://orcid.org/0009-0003-9848-5359Uniwersytet Medyczny w PoznaniuPoznań University of Medical SciencesIntroduction and purpose Diabetes mellitus (DM) is a chronic disease with a growing global prevalence, affecting 8.3% of adults, with a significant proportion remaining undiagnosed. The condition impacts multiple organ systems, including the skin, where manifestations often represent the earliest and most visible signs of metabolic dysregulation. Skin changes associated with DM, such as acanthosis nigricans, xerosis, diabetic dermopathy  and necrobiosis lipoidica, not only highlight underlying metabolic disturbances but also provide valuable non-invasive tools for monitoring glycemic control and disease progression. Material and methods This study is based on a comprehensive review of recent literature focusing on the skin manifestations and clinical implications of diabetes mellitus -related skin changes. Description of the State of Knowledge Hyperglycemia disrupts normal cellular processes in the skin, leading to impaired wound healing, increased oxidative stress, and inflammation. These pathological changes contribute to various dermatological symptoms, including xerosis, pruritus, erythema, and fibrosis. Skin changes, such as diabetic dermopathy, necrobiosis lipoidica, and recurrent fungal infections, are not only indicators of DM but also reflect glycemic control and disease severity. These manifestations can signal undiagnosed diabetes or poorly controlled blood glucose levels, offering a non-invasive method for disease monitoring. Conclusions Skin manifestations are vital diagnostic tools in diabetes care, providing early indications of metabolic imbalances and poor glycemic control. Their presence underscores the need for timely interventions, including lifestyle modifications, pharmacological treatments, and patient education. Dermatological assessments, particularly in resource-limited settings, offer an accessible approach to monitoring therapy effectiveness and predicting complications. https://apcz.umk.pl/JEHS/article/view/57533diabetes mellitusskin manifestationsdiabetic dermopathyglycemic control
spellingShingle Aleksandra Kutaj
Zuzanna Adamowicz
The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
Journal of Education, Health and Sport
diabetes mellitus
skin manifestations
diabetic dermopathy
glycemic control
title The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
title_full The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
title_fullStr The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
title_full_unstemmed The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
title_short The Skin as a Window to Diabetes Mellitus: Manifestations, Complications and Clinical Insights
title_sort skin as a window to diabetes mellitus manifestations complications and clinical insights
topic diabetes mellitus
skin manifestations
diabetic dermopathy
glycemic control
url https://apcz.umk.pl/JEHS/article/view/57533
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