Use extreme caution when making isomalt! Wear latex gloves and have a bowl of ice water in your work area ready for any accidents. Isomalt can cause 1st, 2nd and 3rd degree burns if touched to skin while hot. Hot isomalt will stick to your skin, so make sure you have the gloves on before you start working. In the event of getting isomalt on your hands, quickly peel off the gloves and put your hands in the ice water to cool the affected area. Continue to keep your hands in the water for at least 5 minutes. Call your doctor and get medical advice immediately.