Sign 6: Skin Changes
The skin, our largest organ, often mirrors internal changes, and in children with Type 2 diabetes, it’s no different. One of the visible hallmarks of the disease can be changes in the skin, such as darkened areas on the neck, armpits, or groin, known as acanthosis nigricans. This symptom is characterized by velvety, dark patches that form in the folds and creases of the skin, indicative of insulin resistance.
These changes in skin appearance can be a source of embarrassment and discomfort for children, leading to a reluctance to participate in activities like swimming or sports where these areas might be visible. The patches may also itch or have an odor, which can cause additional distress.
In addition to acanthosis nigricans, children might also experience other skin changes such as dryness or a variety of skin infections. The skin may become increasingly prone to irritations, and cuts or scrapes may heal slowly. These changes are a reflection of the body’s compromised ability to repair and maintain healthy skin in the face of elevated blood sugar levels.
Parents and caregivers may notice that the child’s usual skincare products no longer seem effective or that the child frequently complains of itching or discomfort. These changes can often be subtle at first but become more pronounced over time as the skin continues to react to the internal environment.
In closing, changes to the skin are not just cosmetic concerns. They are significant indicators of underlying metabolic dysfunction and should be evaluated by a healthcare professional. Recognizing and addressing these changes early on can play a crucial role in the management of Type 2 diabetes in children. (6)