Problem: Our diabetic population presents with skin issues often resulting in skin injury and increased costs. Autonomic neuropathy causes a decrease in the sweat and oil production resulting in xerosis. Our goal was to decrease these issues and costs of secondary injuries, and improve quality of life for our patients.

Methodology: 50 patients were selected to participate in a skin care product trial. Criteria for inclusion was a diagnosis of diabetes, high risk for skin breakdown, and characteristics of xerosis defined as abnormally dry skin with fine lines, scaling, and fissures. Untreated xerosis may lead to itching & scratching, pain, and cellulitis. Excluded were confused or non-verbal patients. Skin repair cream containing Olivamine* was applied daily to the patients' legs and feet, after cleansing, for a period of 4 weeks. Skin was evaluated weekly for integrity. Pain was documented using a 0-10 pain scale. Patients were queried regarding itchiness.

Outcomes: Olivamine* delivers amino acids, antioxidants (hydroxytyrosol), vitamins, and Methylsulfamethane to the skin. Transepidermal water loss is preserved with dimethicone base preventing damage form dehydration and decreasing pruritis.

Conclusions: A program of cleansing, moisturizing, and protecting the skin with the Olivamine* containing product improved skin outcomes including skin integrity, prevention of breakdown of fragile skin, and decreased pain and itching for patients.

*Remedy Skin Repair Cream with Olivamine (Medline)