Diabetes is a condition marked by high blood sugar levels, affecting around 37.3 million Americans, or 11% of the population, according to the Cleveland Clinic.

Many of its early symptoms are subtle and often overlooked, but recognizing them early is essential for timely diagnosis and management. Below are nine early warning signs of diabetes you should be aware of.

1. Skin Tags

Skin tags are small, benign growths that can appear anywhere on the body but are commonly found in areas like the neck, underarms, groin, and eyelids. While harmless, they may indicate underlying health conditions such as type 2 diabetes. If you notice an increase in skin tags, it’s best to consult a doctor for evaluation.

2. Small Bumps on the Skin

People with diabetes may experience elevated triglyceride levels, a type of fat in the bloodstream. High triglycerides can lead to eruptive xanthomatosis, a condition where small, itchy bumps appear on the thighs, buttocks, knees, and elbows. These bumps may be yellowish in lighter skin tones and grayish in darker skin tones.

3. Constant Fatigue

Occasional tiredness is normal, but persistent fatigue that doesn’t improve with rest can be a symptom of type 1 or type 2 diabetes. This exhaustion may be caused by fluctuating blood sugar levels, diabetes medication side effects, or excess weight.

4. Dark Patches of Skin

Acanthosis nigricans is a condition where dark, velvety patches develop on areas like the neck, armpits, and groin. These patches don’t wash off and are often linked to insulin resistance, making them an early indicator of prediabetes or diabetes. If you notice this change in your skin, it’s advisable to seek medical advice.