Diabetes is known as the "sweet killer", many sugar patients do not even know that they have diabetes, some of them are itchy skin, a variety of dermatological drugs coated treatment is not effective, and ultimately after the blood glucose test found to be caused by diabetes. Why do diabetic patients have persistent itching of the skin?

Hyperglycemic stimulation:The pathology of diabetes mellitus is characterized by persistent hyperglycemia, which damages all vascularized body tissues, including the skin. Hyperglycemia stimulates the skin receptors and makes the skin itch more than it should. Sugar users will feel, blood sugar control is better when the itching will be slightly relieved, once the itching aggravated, it is likely to be out of control of blood sugar!

Decreased skin resistance:Diabetic patients due to high blood sugar caused by the body of various systems damaged, the immune system can not be spared, the body resistance is not as good as normal people. High blood sugar is a good culture medium for bacteria, plus the skin, as the first barrier of the body, loses its resistance, it is easy to develop bacterial and fungal skin infections, followed by itching of the skin.

Diabetic neuropathy:Diabetic neuropathy is a chronic complication of diabetes mellitus microvascular, peripheral neuropathy, then, will be manifested as skin itching, numbness of the limbs, and some patients will be manifested as skin sensory abnormalities, such as tingling sensation, burning sensation, anthrax sensation, cutting sensation and so on.

Decreased sebum production capacity:Type 2 diabetes is usually found in middle-aged and older people, whose skin has a reduced ability to secrete oil and will become even drier if they bathe in hot water frequently. Dryness can cause itchy skin.

Therefore, to prevent itchy skin, we must pay attention to these four points: strict control of blood sugar, reduce skin irritation; pay attention to hygiene, prevent skin infection, once the infection occurs, active treatment; if neuropathy to be actively treated, alpha-lipoic acid for diabetic neuropathy has a good effect on diabetic neuropathy can be effective in improving the symptoms of itching.

For dry skin caused by itchy skin, you can appropriately reduce the number of baths, bath time pay attention to the water temperature, do not use hot water bath to relieve itching, this will only be counterproductive, after the bath with the appropriate moisturizer coated skin.

Sugar man health network, a temperature control of sugar platform, welcome to pay attention to the questions and answers!

Everyone has diabetes the key is to break out or not! Most type 2's, are triggered by a cold. My brother, a cold day to clean up the utility room, and tired, air circulation is very bad, unknowingly thus hit. In the evening, the old tea did not quench his thirst and he drank a large bottle of Coke. The next afternoon to serve the feast, passing a special store for blood sugar, spend money to test the blood sugar, a check as high as 18.6. The next day to the hospital blood test, a steamed bread two hours later, actually 23.6! From then on with the medicine, but also with health care glycolipids an, but also controlled below 6.0, and later, there is a resistance to the drug, Beijing sends a large bottle of traditional Chinese medicine called a new generation of glucose reduction Ning, but also controlled in the 6.0 or so, but not sold in the market. Now, switching to Gemini plus taking Metformin at dinner, blood sugar is always around 9.0. From the "Today's headlines" on the topic of okra, although February, but the food market's sold, 8 yuan a kilogram, so I bought half a catty. Every night take two or three strips, go to the head and tail, chopped, rushed into boiling water, in a cup (avoid metal cups) soak, the next morning on an empty stomach drink (do not slag), the day before yesterday, 8.4, yesterday, 7.4, today, 6.4, note that the beginning of the Western medicine can not be stopped 💊 (he did not play insulin). This infused water, sticky, not used to drink, but have to drink it with eyes closed. After a week, stable results were visible. The itchy symptoms of his feet four or five inches above the heel of the lower limbs also disappeared. Before using okra, he used to wash and soak his feet in ginger water (the water temperature should not be too hot!!!), which also stopped the itchiness. , which also stops the itching. (I hope to help more diabetics!)

Diabetes is a major concern in our country, and its complications have become a key aspect of life. When itchy skin occurs, excluding external allergies and other factors, the skin symptom caused by internal factors is medically called "diabetic pruritus". Itchiness usually starts in the lower limbs and progresses to the whole body, and is often aggravated by rest and stress. Sometimes the itching is so unbearable that it leaves scratches, and over time the skin can be seen to flake. What exactly is the cause? The specific causes can be divided into the following points.

(1) Changes in blood glucose: If the blood glucose does not reach the target value for a long time, as well as the patient's own lipid and blood pressure problems, it will lead to changes in the osmotic pressure of the body fluids and abnormal function of the skin cell membranes, which will stimulate the nerve excitation and produce itching of the skin.

(2) Neurological dysfunction: patients with peripheral neuropathy, damage to sympathetic nerves and sensory nerves, resulting in skin perspiration dysfunction and sensory abnormalities, the skin due to the damage of the protective barrier is prone to itchiness after stimulation. At the same time, it is easy to complicate bacterial infection, causing more serious skin damage.

(3) Changes in the skin: The lipid membrane on the surface of the skin itself has the function of retaining water, but when diabetic patients develop peripheral neuropathy, their skin moisturizing function is impaired due to insufficient storage of water in the skin, and dryness of the skin occurs. In addition, the diabetic's own thinning, the skin's related structures will also become thin, its surface layer function is reduced will also appear dry. Dry skin has poor electrical conductivity and is prone to itchiness when exposed to external stimuli.

(4) Abnormal microcirculation: Diabetic patients with microcirculation disorders will cause skin ischemia and hypoxia, and the lack of nutrients will make the skin thin and flaky. The skin in this state is prone to itching when stimulated.

When diabetics experience itchy skin, it is recommended that they visit a specialist and have a treatment plan developed by their doctor to try to alleviate the condition and improve their quality of life.

Answer: Wang Xingxing, M.D.

Welcome to Life Calling for more useful health knowledge.

Clinical many itchy skin as the main symptom of patients over 40 years of age, my teacher will ask whether the patient has a history of diabetes mellitus, diabetes mellitus complication of itchy skin in clinical medicine is a recognized topic. So what's going on with diabetes complicated by itchy skin?

First, the peripheral nerve endings of diabetic patients are prone to inflammation, which leads to abnormal sensation of their own senses, thus feeling itchy skin. Second, diabetic patients have higher blood sugar than normal people, high sugar in the blood and lead to the growth of mold, easy to invade the skin and cause itching. Thirdly, diabetic patients have poor blood circulation, the function of local cells is reduced, skin sensation is impaired, and itching occurs. Fourthly, diabetic patients with high sugar content in the blood, due to osmotic pressure problems lead to a decrease in sweat secretion, resulting in dry skin, thus causing itching.

So what can we do to alleviate this symptom?

The first and most important thing that patients with diabetes complicating itchy skin should pay attention to is to control their blood sugar, on the basis of reasonable diet and appropriate exercise, oral hypoglycemic drugs such as metformin, acarbose, or subcutaneous injection of insulin, etc. to keep their blood sugar within the normal range. The second important point is to protect their skin, usually pay attention to basic skin care, immediately after the shower, put on petroleum jelly, vitamin E milk and other moisturizers to keep the skin moist. Generally can do the above two points, most patients can get better improvement of symptoms. For patients with intense itching, after excluding other causes, most of the clinic give ebastine, loratadine and other antihistamines orally, or with Chinese herbal soup, acupuncture treatment and other integrated treatment to stop itching, patients with serious conditions, can be given on the basis of close observation of blood glucose Depo-Provera intramuscular injections or dexamethasone, such as static electricity to alleviate the main symptoms.

Answer: Zhang Qiqi, M.D.

Welcome to Apricot Island for more interesting health facts!

Dr. Chunyu is here to answer that question.

Diabetes mellitus is a group of clinical syndromes caused by a combination of genetic and environmental factors with disorders of glucose metabolism as the main manifestation, and the body may experience metabolic disorders of sugar, protein, fat, water and electrolytes, and clinically, chronic hyperglycemia is the main feature. Diabetes mellitus can be complicated by a variety of chronic complications, leading to organ dysfunction and failure, and even causing disability or death.

I believe that diabetes is not unfamiliar with the symptoms of drinking, urinating, eating and losing weight, and we have also heard of the damage that diabetes can do to cardiovascular, cerebrovascular, renal and other vital organs. In fact, many diabetic patients will also appear itchy skin symptoms, especially poor glycemic control, dry skin, irregular lifestyle and so on more obvious.

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The main reasons for the occurrence include the following:

1) Skin is the largest organ in the human body, diabetic patients due to the increased content of glucose and related metabolites in the skin, with sweat or sebaceous glands excretion will stimulate the local skin and cause itching;

2) Many people with diabetes have chronically dehydrated skin with reduced sweating, and itching may also occur when the skin is excessively dry and has insufficient water content;

3) Diabetic patients can develop neuropathy due to metabolic disorders, and common symptoms include abnormal skin sensations such as itching, numbness, and burning sensations;

4) Diabetic patients with long duration, poor glycemic control and multiple chronic complications are prone to dermatologic lesions, in which patients may develop itchy, scaly skin, blisters, and pimples;

5) Diabetic patients are susceptible to skin and mucosal infections, including bacterial and fungal infections, due to microvascular and neuropathy, which are often recurrent and have poor healing ability. Patients may present with obvious itching, erythema and other manifestations.

6) Itchy skin can be triggered by external factors such as changes in heat and cold, friction of clothing, and irritating diet.

7) In patients with advanced diabetic nephropathy, due to renal failure and uremia, toxic products irritate skin receptors and can also cause itching.

From the above reasons, the key to controlling and relieving itchy skin lies in actively controlling blood glucose, reducing metabolic disorders in diabetic patients, and delaying the onset of related complications.

In addition, daily skin care is also very important, choose more loose and comfortable cotton clothing, pay attention to skin cleaning and moisturizing, avoid scratching, friction skin, minimize skin irritation and damage.

I hope Dr. Chunyu's answer can help you, welcome to pay attention to the headline number [Dr. Chunyu] to get more health science knowledge yo.

Copyright: This article is the original manuscript of Dr. Chunyu, the copyright belongs to Dr. Chunyu, unauthorized reproduction is prohibited, 授权与合作事宜请联系reading@chunyu.me

The main manifestation of diabetes is a constant state of high blood glucose in the body's blood. The main thing in diabetes is to control blood glucose, in which case various complications can be avoided or delayed.

Many diabetic patients will have itchy skin, the main reason is that the high blood glucose in the blood stimulates the microvessels on the skin surface, thus causing a series of lesions on the skin surface, of which itching is the earliest manifestation. Diabetic patients themselves have lower resistance than normal people, if the body has an infection, it is very difficult to cure, so, if diabetic patients have itchy skin what to do?

As long as the body itch many people will be uncontrollable scratching, diabetics must avoid scratching, although this can stop itching to a certain extent, but it is very easy to scratch the skin, triggering a variety of germs infections, once infected is very difficult to heal, can be coated with itch medication in itchy places, avoid the use of alkaline soaps, usually pay attention to the diet should be light, avoid spicy food.

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1. Dry skin

Chronic hyperglycemia and osmotic diuresis in diabetic patients leads to a decrease in skin water content. The number of mast cells and histamine, which is one of the important neurotransmitters that produce itchy skin, is significantly increased in dry skin.

2. Neurological abnormalities

Damage to peripheral nerves in diabetic patients can lead to abnormal sweat elimination and a decrease in the water content of the skin stratum corneum. Also, irregular abnormal discharges due to damage to the patient's sensory nerve fibers may be responsible for the development of pruritus.

3. Metabolic abnormalities

Lipid metabolism disorders in diabetic patients, impaired microcirculation regulation mechanism, structure and function are also impaired, resulting in skin microcirculation disorders, aggravating dry skin.

4. Effects of drugs

Drug allergies caused by oral hypoglycemic drugs or insulin injections cause phlegmatic itching of the skin.

Caveats:

1. Weekday life, avoid eating fish, shrimp and crab, seafood, spicy, onions, garlic, leeks, wine

etc.

2. Strengthening nutrition and necessary exercise to improve one's immunity.

3. Elderly pruritus and winter pruritus should avoid hot baths, reduce the use of detergents and soaps, and immediately rub lanolin or baby oil or lotion after bathing.

4. Physiotherapy can be used in conjunction with Chinese medicine. For example, Wu Snake Wind Dispelling Soup plus subtractions, in which Wu Snake searches for wind, fixes fright and activates Luo; Qiang Wu and Angelica dahurica dispel wind and win dampness; Jing Wu and Fang Feng dispel wind and stop itching; Scutellaria baicalensis clears heat and dries dampness.

The peripheral nerve endings of diabetic patients are more prone to inflammation, leading to abnormal sensation in the hands and feet, resulting in itchy skin. At first, it is the microvascular circulation is relatively poor, the function of local cells will also become poor, the sugar in the blood is high, mold growth invasion and infection of the skin and caused. Therefore, in order to protect their skin, diabetic patients should be careful to maintain the skin, such as the use of some moisturizing liquid and so on, to moisturize our skin, to avoid excessive dryness.

Hello, I'm glad to have the opportunity to answer your question.

Clinically, the more typical symptoms of diabetes are "three more and one less" or "three more and one thin", that is, more drinking, more urination, more food and weight loss or obvious thinness, but there are some diabetic patients in the early stage will appear other symptoms, such as skin itching. But some people with diabetes may experience other symptoms in the early stages, such as itchy skin.

This is mainly due to insufficient insulin secretion in the human body, resulting in elevated blood glucose, which will cause an increase in sugar secretions, these increased sugar to provide a favorable environment for the growth of germs, but also lead to a decrease in the phagocytosis of human leukocytes, resulting in the human body for the infection of the resistance to be greatly reduced.. This is the main reason why diabetics develop itchy skin.

In addition, the diabetic patient's resistance to external infections decreases, which also leads to the diabetic patient's susceptibility to a variety of infections, such as infected by a variety of inexplicable bacteria, molds, viruses, and there are more ways of infections, from head to toe, from the inside to the outside, all of these infections may invade, which may seriously affect the function of the heart, lungs, liver, kidneys, and other organs.

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Diabetes complications in the more common is itchy skin, even before the diagnosis of diabetes, many patients have itchy skin symptoms, some female patients appear perineal itching, vaginal inflammation recurrent symptoms, the root cause is due to high blood sugar stimulation of the skin surface microvessels lead to skin ischemia and dryness and peripheral neuropathy sensory abnormalities and to. Itchy skin usually indicates that you are in the early stages of diabetes. With the development of diabetes and process, if high blood sugar is not controlled in time, will lead to a series of chronic complications of diabetes.

In the various chronic complications of diabetes, diabetic neuropathy is a common microvascular complications, more than 11% of diabetic patients diagnosed with diabetes at the same time there has been a significant neuropathy, diabetic neuropathy and microangiopathy, can lead to renal dysfunction, resulting in the body's metabolites excretion obstacles thus triggering severe itching of the skin, and even the appearance of the large blood vessels, neuropathy skin becomes dark brown In severe cases, there are complications such as skin ulcers and diabetic foot.

Diabetic neuropathy is caused by the interaction of multiple pathogenic factors. The main pathogenesis such as: 1, high blood glucose so that the enzyme glycosylation end products increase, resulting in nerve cell damage. 2, high blood glucose leads to abnormal function of vascular endothelial cells, microangiopathy leads to neurotrophic disorders, causing nerve damage necrosis. 3, autoimmune lead to neuronal cell death, as well as such as oxidative stress, some metabolites of the abnormal elevation of diabetic neuropathy, resulting in itchy skin even Serious chronic complications. Scientific and effective control of high blood sugar is the root of preventing and delaying chronic complications of diabetes.

Zhang Jing Yun Unit: Beijing Fengtai Hospital Member of Pharmaceutical Affairs Network

September 9, 2018

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