Diabetic Peripheral Neuropathy: What to Watch For and What You Can Do

If you have diabetes and feel numbness, pins-and-needles, burning or a tingling in your feet or hands, that could be diabetic peripheral neuropathy. It’s one of the most common diabetes complications, but knowing the signs and simple steps to protect your nerves can make a real difference.

Symptoms and when to act

Symptoms often start in the toes and feet and move upward. You might notice less sensation, trouble feeling temperature changes, or sharp shooting pains at night that wake you up. Balance problems and unexplained foot injuries are also red flags—if you can’t feel a blister or cut, small wounds can worsen quickly. If you spot persistent numbness, new pain, or any foot sore that doesn’t heal within a week, see your healthcare provider right away.

Management: What really helps

Good blood sugar control slows nerve damage. Aim for your target A1C and follow your diabetes care plan. Beyond glucose control, managing lifestyle factors matters: keep blood pressure and cholesterol in check, quit smoking if you smoke, and limit alcohol—these reduce further nerve harm.

For pain relief, first-line medicines often include drugs your doctor can prescribe for nerve pain. Topical options like capsaicin or lidocaine patches can help with localized pain and have fewer systemic side effects. Over-the-counter pain relievers may ease aches but usually won’t stop neuropathic pain. Physical therapy, regular walking, and gentle foot exercises can improve balance and reduce fall risk.

Foot care is non-negotiable. Check your feet daily for cuts, redness, or blisters. Wash and dry them carefully, trim nails straight across, and wear cushioned shoes that fit well. If you notice calluses or changes in foot shape, get a podiatrist involved—early professional care prevents infections and amputations.

Small habits add up: moisturize dry skin (but not between toes), avoid hot baths if you have reduced sensation, and test water temperature before stepping in. If numbness makes you less steady, use rails or a cane and remove trip hazards at home.

Some people benefit from complementary approaches like acupuncture or transcutaneous electrical nerve stimulation (TENS), but results vary. Talk with your clinician before trying supplements or alternative therapies—some can interfere with diabetes medications.

If you’re searching for medication comparisons, diabetes drug choices, or safe online pharmacies for prescriptions, check trusted resources and discuss options with your provider. Managing diabetic peripheral neuropathy is a team effort: you, your doctor, and specialists like neurologists and podiatrists working together to protect your nerves and keep you mobile.

Start today by checking your feet and logging any new sensations. Small checks now can prevent big problems later.