Hi all.

I have just been to a client that has diabetes! (she is on insulin). She filled in my Client Consultation form, but didn't sign (I asked her 3 times).

I was very clearful with her when I was doing a Mini Maniucre. (Cuticle work, shape and polish.) But for future appointments on ANY diabetic should I get a doctors note before treatment?

If anyone could advise that would be great.

Personally I'd ask them to see there GP first to make sure it's ok for them to have it done, I know you don't peform a pedicure on diabetics but manicure?? someone will have the answer x

The only problem with diabetics from our point of view is that their circulation is not what it should be - therefore if you cut them, it can take much longer to heal and hence the risk of infection is greater.

If she is on insulin and her blood glucose control is good then there should be no problems with doing a manicure.

hi can i just why she wouldnt sign it?

Everybody has to sign the client consultation form with me, then I go over it with them and check if they've signed it, if they haven't they don't get past first base (if you know what I mean).

I'm sure you are very careful and that all is well, it just seems a little strange that you asked her three times and she didn't sign it.

Teri x

I think it was just because after I did hers, I did her daughters and we got talking, she must of forgot.

I will make sure that If I do anymore treatment on her that I will get it signed before any treatment is started and explain to her to her the reason that it needs to be signed.

If you do a search you will find I have very strong views on this subject
Diabetics who look after them selves do not have a problem haveing any nail treatment. I understand that it sometimes raises a "contra indication" in NVQ literature but contra does not mean do not do it means adjust your treatment if nessesery. Over half my family is type 1 or 2 diabetic and it is not a problem, there is no need to get a doctors note and no need to single these peeps out and makeing them feel like freeks. would you not do a nail treatment on someone with a nut allagie? or who was asmatic? Common sense please ladies. Like I said do a search, you will see what i mean, some of the stuff that has come up
Peeps who are diabetic actualy are encoraged by their doctors and pediatrists to have regular mani's and pedi's. And the whole thing of infection because of slow healing?
Diabetics do prick finger tests at least once a day, none of them bother with anticeptic wipes before and after drawing blood. I have yet to see any of them with fingers hanging of due to infection.
Its the diabetics who don't moniter, blood test and medicate who are the ones with problems and yes the problems can be horrific. But that type of person is highly unlikely to want a manicure.
Rant over

usuallly diabetics just cant have their nails cut and i wouldnt cut any cuticle anyway,just in case massage is good as long as its going up to the heart and definately no credos incase anyone still likes them. id also be careful when foot filing dont take off too much other wise just the no nail cutting is the big no no

cutting the nails of a diabetic client won't cause problems... cutting the eponychium of ANY client will cause problems...
When you cut the eponychium the body automatically starts to repair itself, this results in scar tissue and a much tougher eponychium, push it back gently and no further than it 'wants to go'.

I have a diabetic client and the only problem I get is her hands going cold during the treatment, I stop occasionally to give her hands a rub to get her circulation going again, apart from that we don't have any problems.

Hello!!
Have just read through this thread as I have had a client come to me who's diabetic. She was a cronic nail biter. She wanted enhancements but as her nails were so bad I suggested a course of spa manicures. She's had this and ow has grown her nails a bit. She now wants enhancements..........safe to do??

Just bumping this one up....................Anyone??

All i know is that normally with diabetics it is mainly pedicures that can raise a lot of issues. Sorry not sure on this one. The main issues that can arise with a diabetic client is; Healing takes longer which then in effect can cause a higher risk of infection. They can have impaired feelings, for example they can burn, cut theirselves etc but may not be aware of this. This would then raise a seperate issue of if there was heat spike would they sense it to its full worth and if not could this lead to more issues. But as i have already said this is normally more of an issue to do with pedicures. As diabetics tend to get loss of feeling in their feet, that is why they have to be extra careful. I know this as my mum and stepdaughter are both diabetic.
Sorry not much help.

Most definitely

I have two diabetic clients (gained another diabetic client since I replied on this thread earlier in the year), one of which is insulin controlled and the other is tablet and food controlled.

If you want to be on the safe side then she can ask her GP the next time she goes to see them, make sure she signs your client consultation form and that you've ticked the box or filled in the relevant details about her being diabetic before any treatment.

hth's a bit

I have (@ 15) Diabetic clients ages range from 10 to 74 There are a few different things you have to do. #1 NO CUTING Watch your files soften them first. #2 Circulation is a big thing there are different massage Technics you can do i will scan my stuff for you if you want. # 3 If you notice something anything discoloration blood under the nail anything that seems out of the norm send them to there doctor!!! I took a class here in the states my neighbors son is diabetic and i wanted to know how to care for him its my contubution to him and his doctor thinks its great i have meet with him he has explain and shown me different things to look out for. Also helps he refers clients to me.

Her client record card is all filled out as I get every client to do so.
She's had 2 spa manicures and has done so well with stopping her biting that she is now ready for enhancements. She got engaged at christmas and wants 'nails' to flash the ring!!!
Thanks for that, very helpful