Tag: neuropathy

Annotation: In the context of the global increase in diabetes mellitus, which by 2024 has affected 589 million people, ensuring the safety of aesthetic procedures becomes a priority task in podology and dermatology. The present study is devoted to the substantiation of standards for safe manicure in patients with endocrinological disorders who have a high risk of injury due to diabetic neuropathy and angiopathy. The aim of the work is a comparative analysis of the effectiveness and safety of dry and wet hardware technologies for nail plate treatment. The research methodology is based on a systematic literature review, analysis of ADA and IWGDF clinical guidelines, as well as a retrospective case study of the author’s practice. The results demonstrate that the use of wet spray technologies makes it possible to maintain the temperature in the treatment area below the protein coagulation threshold (<40°C) and reduces the concentration of respirable bioaerosol by 90%, which is critically important for the prevention of infectious complications. In conclusion, it is stated that there is a need to introduce hydro-burring as the most appropriate option for diabetic patients, excluding aggressive cuticle removal. The information contained in this article will be of interest to practicing podologists, nail service specialists, dermatologists, and endocrinologists seeking to improve patients’ quality of life.