I do foot health treatments and pedicures for diabetics.
I don't think you need a doctors note, but follow the general rules of footcare for diabetics and take sensible precautions.
1) I always use a foot bath with a disposable liner to ensure no nasties in the bath AT ALL.
2) Water not too hot and feet not immersed for an unnecessarily long period of time.
3) Ensure that you dry the feet and between the toes thoroughly.
4) File the nails down rather than cutting.
5) Be sure that you are aware if the client has any allergies so that you can avoid them in the products you will use.
6) Observe the skin of the feet really well, if you see any areas where the skin is broken (eg, a cut, blister, softened between the toes, cracked heel etc) ensure that you draw this to your client's attention so that they may take the appropriate care of it at home.
(Keep a record in their notes to prove that you have done this!)
As for the massage aspect I am not sure.
Elaine x
Thank you - I'll double check with insurance, I'm getting something called 'patient's insurance' that's being used by doctors, dentist etc as there's no such a thing like legal liability cover here and that's being used instead (I only found today that my current ins covers only theft, fire etc even though I asked for it right at the start!). I'm not in UK so it might not be necessary but will phone them tomorrow.I have always been told that you have to get a doctors note for someone that has diabetes
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