Don’t ignore the signs of diabetic neuropathy

Learn how to recognize the symptoms of diabetic nerve damage and take control of your condition.

A man sitting on a couch and tying his shoelace

Tingling. Burning pain. Numbness. These could all be signs of diabetic neuropathy, a common complication of diabetes that affects up to half of people living with the condition. If left untreated, neuropathy can lead to serious problems, including infections and even amputations.

The good news? You can take steps to prevent nerve damage, protect your feet, and manage symptoms with lifestyle changes and medical treatments.

What is diabetic neuropathy?

Diabetic neuropathy occurs when prolonged high blood sugar levels damage the nerves throughout your body. While it can affect various parts of the body, the feet and legs are particularly vulnerable. Over time, nerve damage can cause a loss of sensation, making it difficult to feel pain, temperature changes, or injuries. That’s why it’s crucial to recognize the signs early and take action.

Symptoms to watch for

Diabetic neuropathy can manifest in different ways, depending on which nerves are affected. Here are some common symptoms:

  • Sensory symptoms. Tingling, burning, or sharp pain is common and may worsen at night. Some people experience heightened sensitivity, while others may feel numbness or a "pins and needles" sensation.
  • Loss of sensation. Reduced ability to feel pain or temperature changes can increase your risk of unnoticed injuries.
  • Changes in the skin and muscles. Dry or cracked skin, muscle weakness, and foot deformities over time can point to neuropathy.
  • Complications in the feet. Slow-healing sores, ulcers, infections, or changes in foot shape can become serious if left untreated.

If you experience any of these symptoms, it's important to talk to your doctor as soon as possible to prevent further damage.

Protecting your nerves

The best way to prevent diabetic neuropathy is to keep your blood sugar levels within normal range. Consistently managing your blood sugar can slow, or even prevent, nerve damage. In addition, taking care of your feet is essential to avoiding complications. Here are a few simple habits that can help:

  • Check your feet daily. Look for any cuts, sores, swelling, or changes in skin color.
  • Wear comfortable, well-fitting shoes. Proper footwear can help prevent blisters and pressure point pain.
  • Moisturize your skin. Keeping your skin hydrated can prevent cracks that may lead to infection.

Treatment options

If you’re already experiencing symptoms, talk to your doctor about treatment options. Pain from neuropathy can be managed with medications, but there are also non-medication approaches, including:

  • Relaxation techniques to help manage discomfort
  • Acupuncture as an alternative therapy
  • Transcutaneous electrical nerve stimulation (TENS) for pain relief

By taking proactive steps, you can protect your nerves, manage symptoms, and prevent complications. Talk to your doctor about any concerns and prioritize foot care as part of your daily diabetes management routine.