
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Living with diabetes blog
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Nov. 30, 2012
Diabetes: Coping with nail fungus
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
I have a friend who's so embarrassed about her nail fungus that no one is allowed to see her feet. Her feet are always covered with socks, slippers, shoes or water shoes (if she's at the beach or pool).
Nail fungal infections affect about 12 percent of people living in the United States, and toenail fungus is common in people who have diabetes. Toenail fungus has an inherited tendency and commonly runs in families. Besides being cosmetically unattractive, nail fungal infections can cause nail deformity, pain or discomfort while wearing shoes and odor. And it can lead to more serious foot complications if a secondary infection develops.
If treatment is prescribed, it's important to know that due to the thickness of toenail beds topical medications aren't absorbed easily. You must be persistent with topical medications, applying them daily for up to one year, and even this may not be effective in clearing up the infection.
Oral antifungal drugs can be effective, but they may cause side effects ranging from skin rashes to liver failure. And they aren't recommended for those with liver disease, heart failure or who are taking certain medications.
Recurrent infections are possible if feet are exposed to warm and moist conditions. Remember, keep nails trimmed, free of snags, clean and dry.
How do others deal with toenail fungus?
Have a great week.
Nancy
19 comments posted
May 3, 2013 1:18 p.m.
Hello dear, thank you so much for sharing the valuable tips and I am greatly impressed. I would like to follow your site. May you be blessed with good health and longest life. I wish you a good luck. May your site be successful. Keep rocking. Thank you so much.
- Yasmeen
April 17, 2013 5:27 p.m.
I had a nail fungus on one of my finger nails. I soaked my finger in finger at least once a day (sometimes two) for 15 minutes or longer. I then applied a product that I got at the health food store called Onypen. I made the store manager promise it would work and if it didn't she agreed to give me my $40.00 back. I was very diligent about the procedure and I was shocked that it actually worked! It took about four months for the nail to grow out. I think it was the combination soaking in vinegar and applying the product every single night. I'm so happy!!
- Kathy
January 18, 2013 4:06 p.m.
Myra, you should look into laser treatment for your nail fungus.
- Ricky
January 3, 2013 11:39 a.m.
You make a good point Wayne. Topical treatments for toenail fungus are not as reliable. Laser treatment is about 71% effective and has a greater chance of killing toenail fungus permanently.
- Ryan
January 3, 2013 11:18 a.m.
I have heard some strange remedies for toenail fungus; anywhere from soaking your feet in vinegar to cutting the nail way back and applying mineral oils. But the most logical treatment I have read about is the laser treatment for toenail fungus. A great resource is http://www.mynycpodiatrist.com/services/toena
il-fungus-surgery that talks about the laser treatment. Hope this is helpful... - Ryan
January 2, 2013 1:27 p.m.
Tea Tree Essential Oil works like a charm and is easy to apply, non-greasy and has a clean/astringent smell. It is a Paul Mitchell product that can be obtained from a beauty salon. My hairdresser picked up nail fungus when she had a pedicure,used tea tree oil and within a short amount of time, it was completely gone.
- Cheryl
December 26, 2012 12:19 p.m.
My podiatrist recommended a wonder drug called Vicks Vapo-Rub! the down side is that it is effective only abut 20% of the time and as with other topicals, it needs to be applied daily for a year.
- Wayne
December 25, 2012 9:12 p.m.
I chose the store brand of Vick's VapoRub from all the treatments offered by my podiatrist with her blessings. It worked. I used it daily for over 6 or 7 months, then less so till the year is up, next month.
- Sandra
December 25, 2012 7:12 p.m.
I had read about this tip here. I,too, started using Vicks VapoRub on my 2 affected toes about a week ago. I have been putting off going back to the Dr because the RX is so expensive and doesn't have a very good track record. I decided to buy a jar of the Vicks VapoRub and see if it might help me. I am simply amazed at the improvement!! I put it on the top of the toes, rubbing it in well and also around the edge of the nail and work it under the nail as much as possible at the end. I then put on an old white cotton sock and wear it to bed. I have been doing this faithfully every single night and plan to continue on a nightly basis. I do believe I will be able to wear my sandals next summer if the improvement continues at the current rate!! Thank you to the person who first mentioned this treatment here!
- C M
December 25, 2012 2:20 p.m.
I use Vicks on my big toe nails daily. Within a year, I hove no fungus!
- Fred
December 25, 2012 11:41 a.m.
I've just been diagosed with diabetes, and started seeing a podiatrist for toe nail care which has become difficult due to major leg damage from an auto accident. The doctor didn't seem too concerned with my nail fungus, which I've had for many years, but his assistant gave me an Old Wives cure when I mentioned it to her. I now rub my toes with a 30% apple cider vinegar, 70% rubbing alcohol mixture every day. I do this in the morning, then cover with socks. The fungus was gone withing about 6 weeks, and continual application has kept it away. Plus, the vinegar had a more pleasant odor than foot sweat.
- Tom
December 22, 2012 10:52 p.m.
I use Tea Tree essential oil to treat toe fungus. I put a drop on affect toe at night. It doesn't cure over night, but it will work over time
- Karen
December 12, 2012 8:58 a.m.
My problem is that I have recurrent FINGERNAIL fungus. I get secondary bacterial infections, and many times end up losing a fingernail or having to have one removed. Talk about embarrassing! I have been on Lamasil tablets, and I am hoping that with better blood sugar control, this problem will stop happening. I recently started on Victoza, in addition to my 1000 mg. of Metformin daily.
- Myra
December 11, 2012 6:58 p.m.
I also have used Vicks Vapor-Rub now for around a year. I rub it on my big toe nails every morning before I put on my socks. Both nails are clear with no fungus showing at all. Prior to using Vicks I has lost the complete nail on my right toe. Now I have two great nails with no fungus.
- Fred
December 11, 2012 5:05 p.m.
I brought toenail fungus home from Okinawa in 1954 and have unhappily given it a home ever since. Tried every cure and usually was able to make it disappear....for two or three days. Then my neighborhood podiatrist suggested PND. Since I no longer need the nails to hang from trees, he removed them, yes all ten, in a relatively painless procedure that only took ten minutes for two. After recovery, all I need do is recover. Bye-Bye nail fungus......................Neil
- No name given
December 11, 2012 1:52 p.m.
A friend told me her dad did this. Then my aunt's podiatrist recommended this for her. Then my husband's podiatrist recommended this for him. And it worked for all - in one month they were clear. Put Vapor-Rub on and around the toenail at night and cover it with a sock. Repeat nightly for one month.
- May
December 11, 2012 11:38 a.m.
Here in Charlottesville VA we have a podiatrist who has supposedly discovered a very good cure for fungus. It's not yet covered by Medicare but he hopes it will be soon. Have you heard anything about Dr. Christopher Stewart's methods?
- Carolyn
December 7, 2012 12:35 p.m.
The Treatment section of our Nail fungus article discusses lasers briefly, along with surgery and other topical applications: http://www.mayoclinic.com/health/nail-fungus/
DS00084/DSECTION=treatments-and-drugs - Nancy and Peggy
December 6, 2012 11:58 a.m.
I have heard some strange remedies for toenail fungus; anywhere from soaking your feet in vinegar to cutting the nail way back and applying mineral oils. But the most logical treatment I have read about is the laser treatment for toenail fungus.
- Ryan
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19 comments posted