People with diabetes are often warned about complications affecting the eyes, fingers and toes, but hair loss is rarely discussed. Hair can be thin or more embarrassing, as hair plays an important role in our sense of beauty and identity.
In this article, we explore the common causes and treatment options for diabetes-related hair loss.
Common causes of hair loss in diabetic patients
High blood sugar levels
According to Dr. Raman K. Madhan of Northwell Health, hyperglycemia damages small blood vessels and reduces oxygen and nutrient delivery to hair follicles.
Thyroid problems
People with diabetes, especially type 1, should check their thyroid levels annually as thyroid diseases such as hyperthyroidism can cause hair loss.
Often, through medications, such as gluten-free diets and dietary changes (according to some studies), proper thyroid treatment can help prevent further loss of hair.
anemia
Although not exclusive to diabetes, anemia is a common cause of hair loss. Low iron levels are easily tested and are usually treated with supplements. According to the Academy of Nutrition and Nutrition, iron sources include lean meat, beans and lush greenery.
Alopecia Areata
Autoimmune conditions like type 1 diabetes, alopecia, cause the body to attack the hair follicles and thin the hair in the scalp, brows and other areas.
Treatment options range from corticosteroids to less aggressive topical treatments, such as anthraline creams, depending on the severity.
Does metformin cause hair loss?
Long-term use of metformin, a common diabetic drug, can lead to vitamin B-12 deficiency, which can contribute to significant hair loss.
Metformin reduces the body’s ability to absorb B-12, leading to symptoms such as fatigue, numbness and even hair loss.
If you are taking metformin, your doctor may recommend B-12 supplements, foods rich in B-12, or B-12 injections.
Read more about this drug: Everything you need to know about metformin.
Hair removal treatment for diabetic patients
The best treatment for hair loss in diabetic patients depends on the underlying cause. Some strategies can help prevent further hair loss and promote regrowth.
Blood sugar control
First and foremost, it is essential to improve your blood sugar levels. Following the American Diabetes Association’s recommendation of A1C levels below 7%, it can improve overall health and prevent complications, including hair loss.
If you are likely to be more aggressive in managing your blood glucose levels, aiming for A1c below 6.5% could further reduce damage to both small and large vessels.
7% A1c corresponds to an average blood glucose level of 154 mg/dL.
read more: How to convert A1c to blood sugar levels.
Each person must work with their healthcare team to determine a realistic and safe A1C target.
For example, those who are not aware of hypoglycemia can see that A1c below 6.5% increase the risk of dangerously low blood sugar levels and make your target safer than 7%.
Improved glycemic control is not just about correcting hyperglycemia. It involves adjusting medicines, reducing processed foods, increasing physical activity, and preventing them by eating foods with more nutrient concentrations.
See more details: How to Lower A1C: A Complete Guide.
Over-the-store treatment
Biotin Supplement: Biotin and B-complex vitamins can support hair growth, but do not treat hair loss caused by blood glucose or autoimmune conditions.
Biotin’s natural food sources include eggs, nuts, salmon, avocados and cauliflower.
Rogaine (minoxidil): Rogaine, which is applied directly to the scalp, helps to restore hair growth. However, it is necessary to continue using it, and it is important to talk to your dermatologist to determine the cause of the hair loss.
Hair care tips: Avoid harsh treatments like tight hairstyles, chemical relaxers, and bleaching that will make your hair weak. Choose natural or organic hair products to reduce damage and allow for healthy hair growth.
More aggressive options
Corticosteroid injection: In the case of autoimmune-related hair loss, injections can reduce hair loss by targeting immune system activity.
Platelet-rich plasma (PRP): This new treatment uses the person’s own plasma to stimulate hair follicle growth.
Hair transplant: It is not always a permanent fix, as damaged blood vessels from hyperglycemia levels can cause the implant to break down.
Propecia (finasteride): For men only, this drug treats hair loss in male patterns by blocking hormone production, which causes hair loss.
Although managing hair loss can be challenging, taking steps to control blood sugar levels and exploring appropriate treatment can make a big difference.
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