ABCss: C is for cholesterol The case studies in this series concentrate on the ABCss of diabetes care , ways to get them nearer to target and how to keep them there. Case scenario Christine is 58 years old and has had type 2 diabetes for 11 years.Mental stress could be one of the major causes of pimples in adults. It isn’t a surprise at all that women are often more likely to suffer from adult acne than men, as it has been shown that women have much more tension in their daily lifestyle, not to mention that they are inclined to hormonal imbalances, specifically during times such as their menstrual cycle and pregnancy. Just as in teens, hormones play a key point in the exacerbation and starting point of adult acne. The environmental factors that surround a person, paired with the individual’s lifestyle can also play a huge role in the looks of adult acne.