Diabetic Peripheral Neuropathy: What to Watch For and What to Do
Up to half of people with diabetes develop some nerve damage over time. Diabetic peripheral neuropathy mainly affects the feet and lower legs, and it can quietly cause numbness, pain, or slow-healing wounds. Knowing the signs and simple daily steps can stop small problems from becoming serious ones.
Recognize the signs
Early symptoms are often subtle. You might notice tingling, burning, shooting pains, or a loss of feeling in your toes or feet. Others feel extreme sensitivity to touch or cramps at night. If you can’t feel temperature changes or pinpricks in your feet, you’re at higher risk of cuts and ulcers that go unnoticed.
Your doctor checks for neuropathy with a foot exam, a 10-gram monofilament test (a simple nylon thread), vibration testing, and sometimes nerve conduction studies. Blood sugar records and an A1C test help link symptoms to glucose control. If you see any open sores, redness, swelling, or drainage, get medical attention fast — infections can spread quickly.
What to do today: practical, low-cost steps
Start with blood sugar. Stable glucose and an A1C goal set with your clinician reduce nerve damage risk. Small daily habits matter a lot: inspect your feet every day, wash them gently, dry thoroughly (especially between toes), and use a light moisturizer on dry skin — avoid lotion between toes. Trim nails straight across and avoid cutting calluses yourself; consider a podiatry visit if vision or mobility is limited.
Pick safe shoes. Choose firm-fitting, cushioned shoes with good toe room. Avoid walking barefoot. Using over-the-counter padded insoles or diabetic socks can prevent pressure points and blisters. Replace shoes that create hotspots or show wear inside.
For pain control, common medicines include duloxetine and pregabalin; older options like amitriptyline work for some people but can cause drowsiness or heart effects. Topical options such as capsaicin cream or lidocaine patches help localized pain. Physical therapy, balance exercises, and quitting smoking often improve symptoms. Ask your provider about non-drug options like TENS if medicines aren’t enough.
If cost is a concern, compare prices and generics. Many commonly used neuropathy drugs have lower-cost generic versions. Our site helps compare medication costs in Mexico and other options — but always check legitimacy and prescription requirements before buying online or across the border.
Finally, schedule regular foot checks with your healthcare team. Annual comprehensive foot exams reduce the chance of ulcers and amputations. If you notice a new ulcer, spreading redness, fever, or worsening pain, seek urgent care.
Diabetic peripheral neuropathy can be managed when you act early. Control blood sugar, protect your feet, and work with your clinician to find safe, affordable treatments that fit your life.
