Insulin acne is a type of acne that develops as a result of glucose intolerance. It is caused by excessive insulin production in response to the consumption of carbohydrates with a high glycemic index.
Causes of insulin acne
Insulin acne most often occurs as a result of:
- excessive consumption of simple sugars and fast carbohydrates,
- insulin resistance,
- fluctuations in blood glucose levels,
- excessive secretion of insulin and IGF-1 (insulin-like growth factor).
How the mechanism of insulin acne works
- Glucose spike → insulin spike – after consuming sweets, milk, or fruit with a high glycemic load, blood sugar levels rise dramatically.
- Insulin stimulates IGF-1, which:
- increases sebum (oil) production,
- accelerates skin cell division (keratinization),
- increases inflammation,
- blocks pores and promotes the formation of blackheads and pimples.
- As a result:
- the skin becomes oily, congested, and inflamed, often in the lower part of the face: chin, jaw, and neck.
Symptoms typical of insulin acne
Insulin acne can be distinguished from other types of acne with careful observation. The most common symptoms of insulin acne:
- appears after eating foods such as sweets, fruit, and milk,
- skin condition worsens after consuming dairy products (especially milk) and processed foods,
- pimples and blackheads appear primarily on the chin, jaw, and neck, sometimes also affecting the décolleté and back,
- skin most often (but not always) becomes oily, shiny, and has enlarged pores,
- lesions can be painful and deep (subcutaneous inflammation),
- often occurs in lean individuals with lean insulin resistance,
- most often in women aged 20-40.
How to prevent insulin acne
Following a low glycemic load diet:
- avoid: sweets, fruit juices, white bread, white rice, milk (including lactose-free), bananas, mangoes, grapes,
- choose: groats (buckwheat, millet), vegetables, berries, grapefruit, nuts, avocado, eggs, fish, and meat.
Avoid milk and dairy products:
- not only because of lactose, but also because of IGF-1 and the hormones contained in milk.
Maintaining stable blood sugar levels:
- eat regularly,
- combine carbohydrates with protein and fat,
- avoid excessive hunger, which then leads to cravings.
Get enough sleep and reduce stress:
- cortisol disrupts insulin and skin health.
Tests:
- blood sugar curve (glucose + insulin at 0, 60, and 120 minutes),
- DHEA, testosterone, SHBG, androstenedione (if you also suspect an androgenic component),
- HOMA-IR index.