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Center for Excessive Sweating
5225 Sheridan Drive
Williamsville, NY 14221
(716) 839-3638

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The Center for Excessive Sweating and the Buffalo Sabres

National Center of Excellence for Hyperhidrosis Treatment


Diabetes and Hyperhidrosis

By: Hratch Karamanoukian, MD

July 18, 2008

Sudomotor dysfunction is a common feature of diabetic autonomic neuropathy. This generally manifests as anhidrosis (no sweating) of the extremities, which may be accompanied by hyperhidrosis in the trunk.

Initially, patients display a loss of thermoregulatory sweating in a glove and stocking distribution that, with progression of autonomic neuropathy, extends from the lower to the upper extremities and to the anterior belly, conforming to the length of time one has had diabetes. This process ultimately may result in global anhidrosis.

Hyperhidrosis may also accompany diabetic autonomic neuropathy. Excessive sweating may occur in diabetics as a compensatory phenomenon involving the head and trunk. 

Gustatory sweating, the abnormal production of sweat that appears over the face, head, neck, shoulders, and chest after eating even nonspicy foods, is occasionally seen in diabetics.

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For more information about hyperhidrosis (excessive sweating) , as well as surgical and non-surgical hyperhidrosis treatment options, contact Dr. Karamanoukian at The Center for Excessive Sweating, a National Center of Excellence for Hyperhidrosis Treatment by email or by phone at (716) 839-3638.

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