Diabetic skin: hydration and essential care
Anyone who has diabetes needs to worry about the day-to-day implications of the disease. Whether it's type 1 or 2, you need to take care of your blood glucose levels, make dietary changes, practice physical activity, and avoid addictions, like cigarettes and alcohol.
In addition, the diabetic also needs to take care of the skin. more fragile due to the disease. Discover the changes that occur in the skin of the patient with diabetes and what care should be taken to avoid complications.
Patients with diabetes have a tendency to have dry skin
Diabetics have a greater tendency to have dry skin. According to endocrinologist Andressa Heimbecher (CRM 123579 / SP), the Brazilian Society of Endocrinology, the disease can cause changes in the skin's nerves. "If it affects the nerves of the autonomic nervous system - which control the production of sweat and sebum - the skin gradually grows drier," he says. As a result, there is a breakdown in the linearity of skin cells and cracking can occur.
Furthermore, patients with diabetes tend to urinate more often a day in an attempt to eliminate excess glucose present in the blood. "This process causes loss of fluid in the body, leading to dehydration and dryness of the skin," says dermatologist Leninha do Nascimento (CRM 236114 / RJ), directorate of the Brazilian Society of Dermatology.
Ideal hydration for diabetic skin
There are three levels of skin hydration:
- Emollients: moisturizing substances that combine water and oil, acting on the epidermis and making the skin softer. "Emollients fill the cracks between fragments of the most superficial cells of the epidermis (corneocytes) producing a creamy texture," says dermatologist Lenin
- Occlusives: they prevent water from evaporating, as if they were a barrier - wax base, oils, silicone and petrolatum
- Humectants: they draw water from the dermis to the outer layer of the skin, or they can attract water from the environment if the humidity is high. "
An effective moisturizing cream should contain substances of the three types.
Frequency of hydration for diabetic skin
According to experts, skin hydration should be done daily by the patient with diabetes. "In cases of more severe dryness, to be hydrated up to twice a day, "recalls Andressa, an endocrinologist.
The best time to moisturize your skin is soon after you leave the bath. penetrate the skin much more efficiently, as well as create a layer of protection that prevents the loss of moisture that the skin naturally suffers as a result of the bath.
It is worth mentioning that only the doctor can indicate the most suitable product. There are more suitable moisturizers for the patient with diabetes, depending on the site of the dryness and type of injury.
"Urea creams can keep moisture in the uppermost layers of the skin, while lactic acid creams help leaving the skin softer, dissolving the sites where crusts have formed, "explains Andressa Heimbecher. But before using them it is important to consult a dermatologist - only he can define in which areas to apply and which product will be the most correct . "Some moisturizers purchased without guidance may contain alcohol, which will accelerate dry skin, and unsuitable products can make the problem worse."
Is daily hydration enough to protect the diabetic patient's feet?
In addition to moisturizing daily, other care should be taken with the feet: "The patient should look at the feet every day after the bath and after removing the shoes, wearing comfortable shoes and socks should preferably not have seams to avoid injury," says endocrinologist Andressa.
A full lentic dermatologist saying that the feet should be thoroughly dried after bathing to prevent bacterial and fungal proliferation. The nails should be cut by a specialist and the sensitivity of the feet should be evaluated at the doctor's office at least once a year.
Possible complications if there is no hydration
"Dry skin can cause itching and trauma the nails lead to the formation of excoriations, thickening, redness, scales and cracks, "says dermatologist Leninha.
Dryness and cracking on the skin make the entry of bacteria and fungi easier and can lead to more serious complications . "Regions where calluses are formed are also prone to the formation of ulcers," recalls endocrinologist Andressa.
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