I’ve been a type 1 diabetic now for the past 12 years and I’ve heard of most of the associated complications associated with the disease, but I came across an article a couple weeks back about diabetic dermopathy shin spots and how they are more prevalent in type 1 diabetics.
Well, never hearing of it, it automatically peaked my interest and the fact that I’ve personally had a couple of sketchy spots on my lower legs over the years, I started to research diabetic dermopathy and what it was all about, so lets take a closer look!
What Causes Diabetic Dermopathy?
One of the more popular diabetic skin ailment (yay us!), diabetic dermopathy is found in more than 50% of individuals dealing with the disease. Diabetic dermopathy is a harmless condition and is likely the most common skin problem in people who have had diabetes for some time, or whose blood sugar levels are poorly controlled and remain high over a prolonged period of time.
The exact cause of diabetic dermopathy is unknown but may actually be associated with diabetic neuropathic (nerve) and vascular (blood vessels) complications, as studies have shown the condition to occur more frequently in diabetic patients with retinopathy (retinal damage of the eye), neuropathy (nerve/sensory damage) and nephropathy (kidney damage).
Diabetic dermopathy tends to occur in older patients or those who have had diabetes for at least 10-20 years. It also appears to be closely linked to increased glycosylated haemoglobin, an indicator of poor control of blood glucose levels.
Because lesions often occur over bony parts of the body such as the shins, it is thought that diabetic dermopathy may also be a magnified response to injury or trauma to these areas. Studies have shown that shin spots have appeared in response to trauma with heat, cold or blunt objects in patients with diabetes.
Signs and Symptoms of Diabetic Dermopathy?
Diabetic dermopathy appears as pink to red or tan to dark brown patches, and it is most frequently found on the lower legs. The patches are slightly scaly and are usually round or oval. Long-standing patches may become faintly indented (atrophic).