Diabetes is a metabolic condition where the body cannot properly use glucose, the source of chemical building blocks and the energy needed to maintain heath. People with diabetes have excess glucose in their blood, impacting all organ systems, including the skin.

Dry Skin
Elevated blood sugar due to diabetes results in dry skin; maintaining adequate skin moisture is the most important issue for clients with diabetes. Although most anti-aging creams help keep facial skin hydrated, application of a moisturizing body lotion after bathing will help seal in water. Dehydrated skin, especially due to outdoor exposure in dry climates or during the dry winter season, can become inflamed and itchy, resulting in scratching that can lead to infections. Because diabetes causes injured skin to heal more slowly, keeping the skin moisturized will prevent more serious conditions and possible infection.

Glycation
Sugar can react with skin proteins such as collagen and elastin through the process of glycation. These modified proteins result in less supple skin that is more prone to wrinkling and has an aged appearance. Anti-glycation skin care products with ingredients such as meglumine, aminoguanidine, arg-lys peptide, and carnosine will counter this reaction. Since oxidation accelerates the glycation process, products with antioxidants such as vitamins C and E and alpha lipoic acid are beneficial. Botanical extracts, such as those from green tea, gooseberry, grapeseed, blueberry, and cranberry, are also good sources of antioxidants.
Anti-aging facials will restore hydration and stimulate collagen and elastin production to counteract the effects of glycation. Regular, gentle exfoliation will remove excess dry skin and avoid thickening of the skin. Harsh, aggressive treatments and ingredients and exposure to hot water should be avoided to minimize skin damage.
Some clients with poorly-controlled diabetes may develop a condition called acanthosis nigricans, where darkened skin patches develop in skin folds such as the armpits, groin, and neck. Older people with long-standing diabetes may develop scaly brown skin patches on the front of their shins. These clients should be encouraged to consult their physician to help determine if their blood glucose is within healthy limits.

Foot Care
Foot care is especially important as people with diabetes may be more prone to fungal infections and blisters from poorly-fitting shoes. These afflictions may take longer to heal than in the normal client. Following a shower, careful drying between the toes and the use of powder will help minimize an environment of excess moisture that allows fungal infections to take hold. Regular pedicures may help avoid ingrown toenails.

Beauty from Within
The elevated glucose levels in diabetes can be addressed most effectively through a combination of weight control, healthy diet, and medical treatments, if required. Since eating sugar and carbohydrates affect glucose levels directly, a diet that emphasizes nutrient-rich foods and a lot of fresh fruits and vegetables will help diabetic clients maintain healthy skin.