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Diabetic Gustatory Sweating Gustatory sweating is characterized by excessive sweating of the face, scalp and neck associated with the ingestion of food and or drink. The condition is often seen in individuals with type 1 or insulin dependent diabetes. It is estimated that about 6.5%* of diabetic individuals have gustatory sweating symptoms. The incidence may actually be higher given that the condition is likely to be under-recognized and under reported. The condition is sometimes colloquially referred to as diabetic sweating. Medically, we used the terms diabetic gustatory sweating or diabetic gustatory hyperhidrosis.
Individuals with long-standing diabetes are more prone to developing this sweating condition than those of younger age. Overweight individuals with diabetes are also more likely to have gustatory sweating. Sweating is usually bilateral, that is, is affects both sides of the face, scalp or neck.
Gustatory sweating is also strongly correlated to whether a diabetic individual has some degree neuropathy and nephropathy (disease involvement of the nervous system and kidney respectively). A study involving almost 200 patients revealed some degree of gustatory sweating in 36% and 69% of individuals with neuropathy and nephropathy respectively. In fact, in patients with renal function impairment, gustatory sweating was reversed with a renal transplant. |
The sweating response can persist throughout the eating period, suggesting taste buds may play a role in this condition. A study demonstrated that placing food directly into the stomach did not cause any regions of the body to sweat**. Although rare, gustatory sweating may be triggered by smelling foods.
Glycemic Control and Gustatory Sweating Gustatory sweating can be an embarrassing condition and can be particularly troublesome for diabetic individuals. The condition can disrupt normal eating patterns and interfere with proper glycemic control. Some foods may be more likely to stimulate gustatory symptoms. Try to avoid the 'culprit' foods and more importantly make sure to maintain optimal glucose levels.
*Hansen TS, Tarnow L. Presentation abstract European Association for the Study of Diabetes (EASD), Berlin Germany, 2012. **Sheehy TW: Diabetic gustatory sweating. Am J Gastroenterol 1991; 86:15-17
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Triple butter-urea formulation hydrates
and restores cracking fissuring hands and
feet in diabetic individuals