Who should have their toenails trimmed only by a physician?

The correct answer is that diabetics should have their toenails trimmed only by a physician. This is because individuals with diabetes are at a significantly increased risk for foot complications due to the potential for poor circulation and neuropathy. These conditions can lead to issues such as infections, ulcers, and even amputations if not managed properly. Professional nail care helps ensure that the trimming is done safely and hygienically, reducing the risk of injury or complications that can arise from improper trimming by non-professionals.

In contrast, healthy adults typically have no underlying health issues that would necessitate professional care for toenail trimming, and children can usually have their toenails trimmed by a caregiver with appropriate supervision and attention. Pregnant women do not have the same level of risk associated with toenail trimming as diabetics, though they may experience discomfort and may find professional care more convenient. However, it is the diabetic population whose nail care should be closely monitored by healthcare providers to prevent serious complications.