Baby Your Skin

Diabetes can make the skin on your hands, feet and body more prone to infections. Here’s why and how to rein in your risk. 

Jean Weiss
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As a person with diabetes, you know to pay special attention to your body’s largest organ (your skin). Here, Joseph Jorizzo, MD, professor and founding chair of the Department of Dermatology at Wake Forest University School of Medicine, and adjunct professor at Weill Cornell Medical College, offers tips on how to prevent problems—or care for them if they do occur.

Your hands: Pushed-back cuticles that allow water to enter, which can easily lead to a staph infection, warns Dr. Jorizzo.
Rein in your risk!
Always leave cuticles intact; that ensures they remain a protective layer between your nail bed and your finger. If you develop an infection, Dr. Jorizzo suggests a mixture of 4% thymol and 95% ethanol (it’s found in some mouthwashes) as an over-the-counter solution for a mild infection. Put a drop under your infected cuticle twice a day, he says, until it heals. See your healthcare provider if problems persist. 

Your feet: Wearing flesh-baring footwear combined with high temps—the result can be athlete’s foot, funguses, infections and more. “People with diabetes sometimes have poor circulation and are unable to fight off chronic infections as effectively as others,” says Dr. Jorizzo. And if you have decreased sensation in your feet, it only increases the warm-weather risk.
Rein in your risk! Never go barefoot, and if you choose to wear sandals, be sure they are supportive and well cushioned and will not rub and irritate the skin. Keep your toenails trimmed; if you are unable to do it yourself, have a professional do it for you. Inspect your feet daily, and if you see a cut or sore, treat it immediately with a mild over-the-counter cream antibiotic that does not contain neomycin, which commonly causes allergic reactions. Unsure what to do about a certain problem? See your healthcare provider ASAP to avoid serious complications. 

Body folds: Heat and moisture that can cause chafing, rashes and friction sores in creases (such as in your groin) and anywhere skin rubs together. This can lead to infections deep in the folds of your skin.
Rein in your risk!
Wear loose, breathable clothing to allow air to circulate next to your skin. Dry your skin right after showering or swimming, paying special attention to deep pockets and folds. Pat a powder designed to kill yeast and fungus (such as those with miconazole, micomazole or clotrimazole) on your skin, advises Dr. Jorizzo, who says not to use powders that contain cornstarch, which can encourages yeast growth. 

April 2013