advertisement
 

  Back to Ask the Diabetes Team Ask the Diabetes Team
Question:

From Helotes, Texas, USA:

My older teen, who was diagnosed with type 1 at the age of three, developed large spots on her shins about eight years ago. They range from pink and shiny, to red and peeling. Our endocrinologist confirmed that it was necrobiosis lipoidica diabeticorum. We tried cortisone shots, which proved too painful and not terribly effective. So, I have a few questions:

  1. Is this fairly uncommon? I've never seen another T1 child with it, nor any adults that I know.
  2. Is it related to blood sugars at all? That is, does it worsen with poorer control and get better with a lower A1c?
  3. Are there any new therapies that can improve or eradicate it?
  4. Is it something to worry about in the long term? Does it get worse or ulcerate the longer one has it?

Answer:

Necrobiosis lipoidica diabeticorum has been known for decades but without any obvious real explanation. It is rather rare but was somewhat more commonly seen with the older, less purified insulin preparations compared to today's better insulin choices. The risk is for skin breakdown, ulceration and infection so good skin hygiene is important. It does not seem related to glucose control directly but we really do not have a good understanding of who is at risk, why it occurs, so treatment, unfortunately, remains mostly local support for the site, sometimes cortisone or other steroid creams or injections and antibacterial medications if there is secondary infection.

SB

DTQ-20180921171925
Original posting 2 Oct 2018
Posted to Other Illnesses

  
advertisement


                 
  Back to Ask the Diabetes Team Return to the Top of This Page

Last Updated: Tuesday October 02, 2018 17:38:08
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.

This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
By using this site, you agree to our Terms of Use, Legal Notice, and Privacy Policy.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.