Are Pedicures Safe for A Diabetic

Q: I have diabetes. Is it safe to get a pedicure?

— Mica,

A:The short answer is no, you shouldn't get a pedicure. You have to be careful not to expose yourself to potential infection, skin breaks, and other foot damage.

Before you go to a nail salon, it's best to see your doctor first. He or she will examine your feet for any signs of poor circulation, reduced sensation, skin damage, foot or nail infection, or bone and joint changes. Based on this exam, your doctor will advise you on whether or not you should have a pedicure. If there is any immediate concern, you may also be told to see a podiatrist — a foot doctor. Podiatrists can trim nails, remove calluses, and treat warts safely. They can also correct any deformity that might lead to further damage and advise about daily foot care.

If there is no significant abnormality in your feet, then you can safely get a pedicure. You will, however, need to ask for some special treatment because of your diabetes. In general, unless you are visiting a specialized salon that is familiar with diabetic foot care, avoid getting your nails trimmed or your cuticles removed. Also, do not allow any sharp objects to be used on your feet. If you are getting a pedicure for the first time, talk with the salon personnel regarding their disinfection procedures. Examine the place, and observe how they sterilize and care for their tools. Alternatively, you can bring your own tub and supplies (a soft pumice stone, nail polish) to the salon.

In general, to keep your feet healthy and prevent complications, it's important that you stay well hydrated and prevent your skin from becoming dry. Avoid products that might cause your skin to peel or products that contain steroids. Examine your feet daily for any skin breaks and seek care from your doctor or podiatrist promptly if you observe any problems.