Common Prediabetes Skin Symptoms

Medically Reviewed By DR. HARDIK BAMBHANIA, MBBS, MD , 8 Years of Experience October 14, 2024

In prediabetes, blood sugar levels breach the normal but do not breach enough to be in the type 2 diabetes diagnosis. It is a significant warning sign, indicating that your body is having a hard time managing insulin.

While prediabetes can be symptomless, early signs often appear on the skin. Dark patches, dry skin, or unusual growths might signal changes in your blood sugar. Recognizing these skin symptoms early can help prevent the progression to type 2 diabetes, making it crucial to seek medical advice if they occur.

Common Skin Symptoms of Prediabetes

Common Skin Symptoms of Prediabetes

Early skin changes can serve as indicators of prediabetes, signaling that your body may be struggling with insulin resistance. Below are some of the most common skin symptoms linked to this condition:

Acanthosis Nigricans

According to the Mayo Clinic Website, Acanthosis nigricans is one of the hallmark skin symptoms of prediabetes. It appears as dark, thickened, velvety patches of skin, typically found around the neck, armpits, groin, or other body folds. These prediabetes skin symptoms are often a result of excess insulin in the bloodstream. This stimulates the growth of skin cells and melanin. Thus leading to these discolorations. Checking your blood sugar levels right away is a good idea if you detect these spots.

Skin Tags

Skin tags are tiny, benign skin growths that typically appear on the neck, underarms, and eyelids. According to the Cleveland Clinic Website, although skin tags are non-cancerous and harmless, a sudden increase in their number may indicate insulin resistance, a key component of prediabetes. People with prediabetes or type 2 diabetes are more likely to develop skin tags. And their presence can be an early warning sign.

Dry, Itchy Skin

Dehydrated skin might result from persistently elevated blood sugar levels brought on by prediabetes. This, in turn, results in dry, flaky, or itchy skin, especially on the lower legs, arms, and elbows. According to the American Academy of Dermatology, when blood sugar is elevated, the body loses fluids more rapidly, making it harder to maintain the skin’s moisture balance.

Diabetic Dermopathy

Diabetic dermopathy presents as small, round, light brown patches of skin, usually appearing on the shins. These patches often resemble age spots or scars and may be mistaken for other skin conditions. They occur as a result of changes to the blood vessels due to prediabetes, leading to skin discoloration and thinning.

Each of these skin symptoms, while subtle, can be an early clue that something is going wrong with your body’s ability to regulate blood sugar. By recognizing these signs early, you can take steps to manage your condition before it progresses.

Read More: 10 Foods to Avoid In Prediabetes

Other Associated Skin Conditions

In addition to the common skin symptoms, several other skin conditions may appear as a result of prediabetes. While not as frequent, these issues can also signal that your body is struggling with elevated blood sugar levels. Here are a few additional skin conditions that are often associated with prediabetes:

Necrobiosis Lipoidica

Patients with prediabetes or diabetes may develop the uncommon but dangerous skin ailment known as Necrobiosis Lipoidica. It presents as raised, yellowish-brown patches of skin, usually on the lower legs. According to the Australasian College of Dermatologists, the patches may initially appear as small reddish raised blisters. It is shiny and becomes thin, fragile, or ulcerated. Although the precise origin is uncertain, insulin resistance-related alterations in blood vessels are thought to be the reason. Thus leading to reduced blood flow and skin damage.

Fungal Infections

People with prediabetes are more prone to fungal infections, particularly those caused by Candida, a type of yeast. These infections tend to thrive in warm, moist areas like the groin, under the breasts, or between the toes. Symptoms can include red, itchy rashes, blisters, and cracking of the skin. The reason for this increased susceptibility is that elevated sugar levels weaken immunity. Thus making it harder for the body to fight off infections.

Bacterial Infections

Much like fungal infections, bacterial infections become more common as blood sugar levels rise. Conditions like styes (infections of the eyelid), boils, and infected hair follicles are more likely to develop in people with prediabetes. The skin may become red, swollen, and painful, and these infections can spread quickly if left untreated. High blood sugar levels can delay the skin’s ability to heal, making bacterial infections more frequent and difficult to manage.

Xanthelasma

Xanthelasma is the development of yellowish plaques or bumps on or around the eyelids. These fatty deposits are often linked to high cholesterol, which is common in people with insulin resistance and prediabetes. According to the American Academy of Ophthalmology, while xanthelasma itself is not harmful, it can be a sign of metabolic issues, such as prediabetes or heart disease.

Slow Healing Wounds

Prediabetes can slow down the body’s ability to heal cuts, bruises, and sores due to impaired blood flow and reduced immune response. Elevated blood glucose levels harm blood vessels and impair blood flow, particularly in the lower limbs, such as the feet and legs. According to the UK Healthcare Website, this hinders the delivery of oxygen and nutrients to the wound site. Slow-healing wounds, particularly on the feet, maybe a sign that prediabetes is progressing toward full diabetes.

These associated skin conditions, while not exclusive to prediabetes, often point to underlying issues with blood sugar regulation and metabolic health. If you notice any of these symptoms, it’s essential to consult with your doctor to get tested for prediabetes and take the necessary steps to prevent further complications.

Why Do These Skin Symptoms Occur?

The skin symptoms associated with prediabetes are largely due to the body’s struggle with insulin resistance and high blood sugar. When insulin isn’t used effectively, excess glucose remains in the bloodstream, leading to several issues that impact the skin:

Insulin Resistance

Causes changes in skin texture and appearance, such as the dark patches seen in acanthosis nigricans.

Poor Circulation

Blood vessels are damaged by high blood sugar, which lowers blood flow to the skin and causes diseases like diabetic dermopathy and slow-healing wounds.

Reduced Collagen Production

Blood sugar affects collagen, a key protein for skin health, making skin more prone to damage, infections, and slower healing.

Together, these factors contribute to the skin-related symptoms often seen in prediabetes, offering an early warning that blood sugar levels need attention.

Can Skin Prediabetes Symptoms Be Reversed?

The good news is that many skin symptoms of prediabetes can improve or even reverse if the underlying condition is managed effectively. By addressing the root cause—high blood sugar and insulin resistance—skin health often improves as well. Here’s how:

Blood Sugar Control

Lifestyle changes like a healthy diet, regular workouts, and, if necessary, medication can manage blood sugar. These steps can help reduce or reverse skin issues like acanthosis nigricans and dry skin.

Weight Loss

Reducing body weight can decrease insulin resistance, which in turn may lessen the appearance of skin tags and improve other skin conditions.

Skin Care

Hydration and moisturizing, along with proper hygiene, can help alleviate dry and itchy skin.

In many cases, once prediabetes is controlled, the skin conditions tied to it begin to fade. However, more severe conditions, like necrobiosis lipoidica, may require specialized treatment. Prompt action is essential to stop the advancement of both prediabetes-related skin signs and the disease itself.

Read More: 7 Day Meal Plan for Prediabetes

Tips for Managing Prediabetes and Skin Health

Managing prediabetes effectively can improve your skin and prevent complications. Here are some key tips:

Control Blood Sugar

Diet: Focus on low-glycemic foods like whole grains, veggies, and lean proteins. Avoid sugary foods and refined carbs.

Exercise: Aim for minimum of 30 to 45 mins of moderate activity everyday to improve insulin sensitivity and circulation.

Monitor Levels: Regularly check your blood sugar to ensure it’s under control.

Stay Hydrated

To avoid dry skin and to help with blood sugar balance, drink lots of water.

Skincare Routine

Moisturize Daily: Use fragrance-free lotions to combat dryness.

Gentle Cleansing: Opt for mild cleansers to avoid irritating the skin.

Check for Changes: Check your skin frequently for any new signs, such as dark spots, tags, or wounds that take a long time to heal.

Treat Wounds Promptly

Clean and dress wounds quickly to avoid infection. Seek medical help for any slow-healing injuries.

Reduce Stress

Stress can raise blood sugar. Engage in stress-relieving activities like yoga, meditation, or walking.

Regular Check-Ups

See your doctor on a regular basis to monitor your prediabetes and treat any skin issues.

By following these tips, you can manage both your prediabetes and skin health, reducing the risk of complications.

Read More: Diabetes and Skin Problems

FAQ’s(Frequently Asked Questions)

What skin conditions are common with prediabetes?

Common skin conditions linked to prediabetes include acanthosis nigricans, skin tags, and diabetic dermopathy. Dry, itchy skin and slow-healing wounds can also occur due to poor circulation and high blood sugar. Recognizing these signs can help detect prediabetes early and prompt treatment.

Can prediabetes-related skin symptoms be reversed?

Yes, many skin symptoms caused by prediabetes can be improved or reversed with proper blood sugar management. Lifestyle changes like a healthy diet, regular workouts, and weight loss can lessen insulin resistance and improve skin conditions. Skin tags may remain, but their formation can slow with better blood sugar control.

How can I prevent skin issues related to prediabetes?

To prevent skin issues linked to prediabetes, focus on maintaining healthy blood sugar levels through a balanced diet, regular exercise, and proper hydration. Moisturize daily to keep skin hydrated and avoid harsh soaps. Regularly look out for any new or unusual symptoms like dark patches, skin tags, or slow-healing wounds. Promptly treat any cuts or sores to prevent infection, and visit your doctor for routine check-ups to monitor both your prediabetes and skin health.

Last Updated on by Dr. Damanjit Duggal 

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