Why diabetes screening and prevention should be a part of psoriatic disease care.
Psoriatic disease is more than skin deep. Explore the shared risk factors and common solutions of diabetes and psoriatic disease.
Psoriatic disease is a systemic condition affecting multiple body sites. This is emphasized by the higher presence of certain diseases in people already living with psoriatic disease. Diabetes is a disease where the body’s mechanisms to use blood sugars are compromised. There are several different types of diabetes. People living with psoriatic disease more commonly develop type 2 diabetes, which is also the most common type of diabetes worldwide.
Research suggests that people with psoriatic disease are twice more likely to develop diabetes compared to people without psoriatic disease. The risk of developing diabetes increases with severity of psoriatic disease. Scientists have put forward several hypotheses to explain this link: common genes, persistent inflammation and higher presence of diabetes risk factors in people with psoriatic disease, such as higher weight and obesity are all proposed culprits.
In light of this link, a person-centered, integrated care of psoriatic disease should include screening and prevention of diabetes. Regular screening for diabetes is included in psoriatic disease guidelines from medical societies, but is seldom applied in clinical practice. Counselling on nutrition and smoking cessation, pillars of diabetes prevention and beneficial for psoriatic disease, are not routinely part of psoriatic disease management.
The report “Inside Psoriatic Disease: Diabetes” examines the relationship between psoriatic disease and diabetes, summarizing the science behind their link, and the interventions aimed at improving psoriatic disease and preventing diabetes. Moreover, the report advances recommendations and best practices for integrating diabetes screening and prevention in psoriatic disease care, with examples translating recommendations into real action. The report is accompanied by a short list of tips for preventing and managing diabetes, especially designed for people living with psoriatic disease.
With “Inside Psoriatic Disease: Diabetes”, the psoriatic disease community joins the diabetes community in celebrating 100 years from the discovery of insulin.
Psoriatic disease and diabetes are mutually enforcing agendas. When at-risk individuals such as people living with psoriatic disease receive screening and counselling for diabetes, we are getting closer to a model of care that puts people at the center. Integrating diabetes screening and counselling into psoriatic disease care is a necessary step to implement the recommendations listed in the WHO Global Report on Psoriasis, and achieve health for all.