Diabetic neuropathy

Learn about diabetic neuropathy, including its symptoms, common causes and care options that can help you manage this diabetes-related condition.

Diabetic neuropathy is nerve damage that can occur when high blood sugar from diabetes affects your nerves, most often in your legs and feet. It is a common long-term complication that can change how you feel pain, temperature, and touch in different parts of your body.

Common Symptoms
Symptoms often develop gradually and may include:

  • Numbness or reduced ability to feel pain or temperature changes, especially in your feet or hands
  • Tingling or burning sensations
  • Sharp pains or cramps
  • Muscle weakness
  • Loss of reflexes, particularly in the ankles
  • Balance problems and increased risk of falling
  • Foot issues such as ulcers, infections, or joint pain

Causes
Diabetic neuropathy usually develops over time when high blood sugar damages nerves. Other factors, like high blood pressure or high cholesterol, can increase your risk. Managing your diabetes effectively can help reduce the likelihood of developing neuropathy.

Treatment and Care
While nerve damage may not always be reversible, there are ways to manage symptoms and prevent the condition from worsening. At TidalHealth, we support people with diabetes through:

  • Blood sugar management and monitoring
  • Nutritional guidance and support
  • Education about self-care and foot care
  • Pain management strategies
  • Advice on safe physical activity and fall prevention
  • Regular exams to monitor for complications

Working closely with your healthcare team helps create a care plan tailored to your needs. Our specialists are here to listen, answer questions, and guide you in managing your health.

What is diabetic neuropathy?
Diabetic neuropathy is nerve damage caused by long-term high blood sugar. It most often affects the feet and legs, but it can impact other areas. Symptoms may include numbness, pain, weakness, or balance issues.

What are the symptoms of diabetic neuropathy?
Symptoms may include numbness, tingling, burning, or sharp pain in your feet or hands. Muscle weakness, balance problems, and foot complications such as slow-healing sores or ulcers are also common.

What causes diabetic neuropathy?
The main cause is long-term high blood sugar. Additional risk factors include high blood pressure, high cholesterol, smoking, and heavy alcohol use.

How is diabetic neuropathy diagnosed?
Diagnosis usually involves reviewing your medical history, performing a physical exam, and running tests to check nerve function and sensitivity. Regular exams help detect neuropathy early.

How is diabetic neuropathy treated?
While nerve damage may not be reversible, controlling blood sugar is key to preventing further damage. Treatment can also include medications for pain, physical therapy, and guidance on foot care to avoid serious complications.

What can I do at home to manage diabetic neuropathy?

  • Check your feet daily for cuts, blisters, or sores
  • Keep blood sugar within your target range
  • Wear comfortable, well-fitting shoes
  • Follow guidance from your care team
  • Stay physically active if safe for you

Why is foot care important?
Neuropathy can reduce sensation in your feet, so injuries or infections may go unnoticed. Daily checks and proper care help prevent serious problems.

Who can I turn to for help?
TidalHealth offers access to diabetes specialists, educators, and support. Our team is here to answer questions, guide your care, and help you understand your options.