I don't know about other parts of the country but here is Massachusetts it has finally warmed up enough for us to put our boots away. It's not warm enough just yet to go barefooted but there are some days where you can get away with sandals or flip flops. This is the time when people start to pay attention to how their feet look. While some people focus on their feet for appearance purposes there are others who do so on a regular basis for medical reasons.
As a manicurist one question we are suppose to ask our customers who come for a pedicure is if they are diabetic. Because diabetes can cause nerve damage as well as affect the immune system it's very important for you manicurist to know about this condition. She or he will then be able to take precautions and adjust the service to meet your special needs.
Foot Problems Common To Diabetics
~ Nerve Damage: diabetics may have decreased sensation to their feet and lower legs. Diabetics may also not feel small cuts or open areas on the feet because of the nerve damage.
~ Dry Skin: high blood sugar levels draws fluids from your skin causing dry patches. There is also a decrease or change in the normal production of skin oils which also affects skin texture. Skin on the feet will often form cracks, fissures and sores.
~ Impaired Immune System: this means any cuts, sores or breaks in the skin will take longer to heal. Open areas may become infected easily.
~ Damage To Blood Vessels: decreased or poor circulation contributes to decreased healing times.
Information For Manicurists
~ Always check your clients feet and calves for any open areas. Under NO circumstances should a pedicure be perfomed if there is an open area or broken skin.
~ Soak feet in tepid (water no warmer then 90 degrees) not hot water. Your client may not be able to feel if the water is too warm.
~ Do NOT cut nails or cuticles. Instead file the nails to shape them leaving a small free edge. This helps to prevent ingrown toenails as well as the possibility of accidentally nicking the skin when trimming the nails. Push cuticles back but do not trim them for the same reason. Any cut no matter how small will take longer to heal and may become infected.
~ NEVER use a Credo blade on calluses even if they are allowed in your state. Gently buff dry areas....SMOOTH DON'T REMOVE!
~ Apply a moisturizing lotion or foot balm. This is very important because diabetics often have extremely dry skin. If performing a massage use gentle, even pressure. Your client may not be able to feel if you are pressing too hard.
~ Always dry feet well especially between the toes. Trapped moisture between toes can cause fungal infection. The skin may also form small splits between the toes because of the extra moisture.
~ If a client should accidentally be cut during a serivce stop the service right away and apply gentle pressure to the site. Dry the area and apply a bandaid. Instruct your client to see their doctor as soon as possible for the area to be assessed and treated if necessary.
As a nurse as well as a manicurist I've seen all to often what happens when diabetics ignore their feet. Regular pedicures are a great way to maintain good foot care and catch problems before they get worse. It only takes a few simples changes in the usual pedicure service to give your diabetic clients exactly what they need.
Do you work at a salon or spa? Do you provide any specialty services for diabetics? If so leave a comment and let our readers know what services you offer.