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Manicures on diabetics - 21-08-11, 07:31 AM

Hi Geeks wondered if anyone can give me any advice on doing a manicre on a diabetic person. I have my first diabetic client this week and unsure what I can and cant do for them as this is something I was never taught.
Can I use metal tools?
Can I cut the nails?
I believe massage should be lighter due to they bruise easier is that right?
Any info you can give me I would be gratefull.
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21-08-11, 07:37 AM

Well firstly, they should sign a consent and release form.

I would recommend filing their nails with a file with VERY dull edges. Don't risk cutting. Then apply some cuticle oil and gently push back their cuticles with a birchwood stick. No scrub, soak or paraffin and noooo metal tools.

Lots of diabetics have their condition well controlled, however some do not. If you see their arms and hands and they have lots of injuries on them, that would indicate their diabetes is uncontrolled and/or severe. You should refuse treatment at that point.

Also, this is just from my personal experience with diabetic treatments and you should make sure your insurance covers you.
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21-08-11, 08:19 AM

Treat her as you would any other client! I recently had a cleint thaat was diabetic and she was relieved to be treated norrmally when done a manicure for her. As in various places she had been refused a manicure or treated as if she had the plague. Use your tools careful as you should with any client and their shouldn't be any issues with cutting them being gentle when working on the cuticle as you would with any client. Your doing a manicure not major surgery.
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21-08-11, 08:38 AM

My mums diabetic and as long as they have no loss of sensation you can do anything on them. Some are just more sensitive to things but they'll tell you if it's not right for them. I've used everything on mum and she's fine it depends entirely on the client and how well it is controlled x
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21-08-11, 08:47 AM

DO NOT LISTEN TO THE ABOVE ADVICE.

Diabetics can have minor sensation loss even THEY don't notice, which can lead to big problems. Their skin is more fragile, they are prone to tears, bruising, bleeding, ulcers and infection, if you aren't cautious. Even something as tiny as leftover exfoliation granules can cause an ulcer.

I know what I'm talking about, as I used to do hand and foot care for the elderly. Just because you two have some sort of off-hand experience with one client doesn't mean you should be giving advice like that.

9 times out of 10, if you're careful, everything will be fine. They have diabetes, and they need to accept that. Don't risk your career, business and reputation. Err on the side of caution.

Last edited by geeg; 21-08-11 at 11:11 AM. Reason: edited unnecessary rude comment
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21-08-11, 08:56 AM

why would you not do all those things with EVERY client. If you are working in a safe, professional way there is no need to treat clients differently regardless of what health issues they may have.
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21-08-11, 09:00 AM

Oh lordy. Try actually reading what I wrote. If you seriously think that, you should NOT be a nail tech.
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21-08-11, 09:09 AM

with that attitude should you?
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21-08-11, 09:12 AM

Agree with eskimonailtech, no metal tools, cutting of cuticle etc.

There is no point in taking the risk!



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21-08-11, 09:22 AM

Anyone actually have diabetes here themselves and received advice from a doctor not just a nail manual or trainer?

Also there are different types of diabetes. And most people with diabetes have accepted it!

Least of my worries is how my nails look. But i can still have a manicure. Pedicure.... Questionable. I advise a chiropodist only!


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21-08-11, 09:25 AM

I think what I said was it depends on the client?! If they have a doctors note to say they are fine to treat then what's the problem?

I'm not understanding how a metal cuticle pusher, if used correctly, can do damage and cause an ulcer. Sorry if I'm being thick but I thought using tools and being careful came hand in hand with every treatment you do.

Mild diabetes is not contra indicated anyway, you adapt your treatment to suit the client and if this isn't possible then you refuse the treatment.

That's like saying advanced epilation is contra indicated for diabetics, Which it isn't, they just heal slower so you have to have longer between treatments and you can only do it if it's been advised safe by a doctor.

Sorry but it really does depend on the client, you can't say just because they're diabetic I'm not touching them even though the doctor says it's fine.
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21-08-11, 09:28 AM

Quote:
Originally Posted by ProperPrincess View Post
Anyone actually have diabetes here themselves and received advice from a doctor not just a nail manual or trainer?

Also there are different types of diabetes. And most people with diabetes have accepted it!

Least of my worries is how my nails look. But i can still have a manicure. Pedicure.... Questionable. I advise a chiropodist only!


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The problem is that when a client is coming for a treatment you have no way of knowing the type, condition etc of the diabetes, So it is best to advise erring on the side of caution imo. However if you are experienced in the condition, the person you are working on etc the do as you feel comfortable. But I am guessing the op is not so hence the advice x

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21-08-11, 10:08 AM

Don't use metal tools and NEVER use cuticle nippers!

Don't do a firm massage!

Do cut nails (as nails are dead and this shouldn't cause a problem)

I was taught to not do anything that could risk nipping or cutting the skin! If you make them bleed this can be dangerous as there body won't heel like yours and mine and they are open to more infection within the cut etc!

Do a gentle manicure and be careful!

(as for scrub and p wax I am not sure, sorry)
X
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21-08-11, 10:15 AM

Quote:
Originally Posted by FreyaBeauty View Post
Don't use metal tools and NEVER use cuticle nippers!

Don't do a firm massage!

Do cut nails (as nails are dead and this shouldn't cause a problem)

I was taught to not do anything that could risk nipping or cutting the skin! If you make them bleed this can be dangerous as there body won't heel like yours and mine and they are open to more infection within the cut etc!

Do a gentle manicure and be careful!

(as for scrub and p wax I am not sure, sorry)
X
I was taught not t do P.WAX on a client due t lose of tactile sensation in their hands and feet.

I wouldnt risk it incase you burn your client

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21-08-11, 10:16 AM

completley agree with eskimonailtech! this is what I was taught on my mani/pedi course and definatley be cautious, you can still offer the treatment though! xx
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