Overcoming Nail Cutting Addiction: A Guide for Diabetics - Surgery

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Inquire about nail-related issues?


Hello, doctor.
I have had a bad habit of cutting my nails since my school days.
Although I have a fixed schedule for how often I trim them, I prefer to cut them shorter and shorter.
Currently, I have no nails on four of my toes, except for the big toe (completely none), and I even bleed sometimes.
Every time I see a new nail growing just a little, I feel the urge to cut it off immediately.
My big toe is also cut very short, but it hasn't reached the point of having no nail.
I know this is wrong and can easily lead to infections or other health issues, but I just can't change this habit.
I also have diabetes, which can slow down wound healing.
I have regular follow-ups with the endocrinology department, but I really don't know what to do about my nail issue.
I also cut my fingernails short, but not as severely as my toenails.
My family often scolds me.
Thank you, doctor.

Ling Er, 20~29 year old female. Ask Date: 2022/10/04

Dr. Chen Bingze reply Surgery


Hello, if you know that this is clearly a bad habit but can't seem to change it, you might want to consider seeing a psychiatrist or psychologist.
A surgeon may not be able to help you with this issue.

Reply Date: 2022/10/04

More Info


Overcoming nail cutting addiction, especially for individuals with diabetes, is crucial for maintaining overall health and preventing complications. Your habit of excessively cutting your nails, particularly to the point of injury, poses significant risks, especially given your diabetes. Here’s a comprehensive guide to help you manage this behavior and protect your health.


Understanding the Risks
1. Infection: Diabetes can impair your immune response, making you more susceptible to infections. Cutting your nails too short can lead to open wounds, which can easily become infected. This is particularly concerning for your toes, as infections in the feet can lead to serious complications, including ulcers and, in severe cases, amputations.

2. Delayed Healing: High blood sugar levels can slow down the healing process. If you injure your nails or the surrounding skin, it may take longer for these wounds to heal, increasing the risk of complications.

3. Nail Deformities: Excessive cutting can lead to nail deformities, which can cause discomfort and lead to further issues, such as ingrown toenails.


Strategies to Overcome Nail Cutting Addiction
1. Awareness and Mindfulness: The first step in overcoming any addiction is awareness. Keep a journal to track when and why you feel the urge to cut your nails. Understanding the triggers can help you develop strategies to cope with them.

2. Set Limits: Instead of cutting your nails as short as possible, establish a reasonable length that is safe and healthy. You might consider using a nail file instead of clippers to smooth out rough edges without cutting too deeply.

3. Regular Maintenance: Schedule regular nail care appointments with a podiatrist or a nail technician who understands your condition. Professional care can help you maintain your nails at a healthy length and reduce the urge to cut them excessively.

4. Distraction Techniques: When you feel the urge to cut your nails, try to distract yourself with another activity. This could be a hobby, exercise, or even a stress-relief technique such as deep breathing or meditation.

5. Behavioral Therapy: If your nail cutting habit is severe, consider seeking help from a mental health professional. Cognitive-behavioral therapy (CBT) can be particularly effective in addressing compulsive behaviors.

6. Protective Measures: Consider wearing gloves or using band-aids on your fingers to physically prevent yourself from cutting your nails. This can serve as a reminder to avoid the habit.

7. Educate Yourself: Learn more about the complications associated with diabetes and nail care. Understanding the potential consequences of your actions may motivate you to change your behavior.

8. Support System: Engage your family and friends in your journey to overcome this habit. They can provide support, encouragement, and reminders to help you stay on track.


Regular Monitoring
Since you have diabetes, it’s essential to monitor your blood sugar levels regularly and maintain good control. This will not only help with overall health but also improve your body's ability to heal. Regular check-ups with your healthcare provider can help you stay informed about your condition and receive guidance on managing both your diabetes and your nail care.


Conclusion
Overcoming a nail cutting addiction, especially as a diabetic, requires a multifaceted approach that includes awareness, behavioral changes, and professional support. By implementing these strategies, you can protect your health, prevent infections, and promote better healing. Remember, it’s essential to prioritize your well-being and seek help when needed. Your health is worth the effort, and with determination and support, you can overcome this challenge.

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