Diabetic Neuropathy Symptoms to Recognise
Learn to recognise early symptoms of diabetic neuropathy like numbness, pain, and digestive issues. Get expert tips on managing nerve damage caused by diabetes.
Written by Dr. M L Ezhilarasan
Reviewed by Dr. D Bhanu Prakash MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Last updated on 22nd Jul, 2025
Introduction
Living with diabetes requires constant attention to your health, as high blood sugar levels can lead to complications over time. One such complication is diabetic neuropathy—a type of nerve damage caused by diabetes. Recognizing the symptoms early can help in managing the condition effectively and preventing further complications.
What is Diabetic Neuropathy?
Diabetic neuropathy occurs when prolonged high blood sugar levels damage the nerves, primarily in the legs and feet, but it can also affect other parts of the body. There are different types of diabetic neuropathy, but the most common is peripheral neuropathy, which affects the extremities.
Common Symptoms of Diabetic Neuropathy
The symptoms of diabetic neuropathy can vary depending on which nerves are affected. Here are some key signs to watch out for:
1. Numbness or Tingling
A common early symptom is a pins-and-needles sensation, usually starting in the toes or fingers.
Some people describe it as a feeling of walking on cotton or wearing invisible socks.
2. Burning or Sharp Pain
You may experience burning, stabbing, or shooting pain, especially at night.
The pain can be constant or come and go.
3. Loss of Sensation
Over time, you may lose the ability to feel heat, cold, or even pain in the affected areas.
This increases the risk of unnoticed injuries, which can lead to infections.
4. Muscle Weakness
Weakness in the legs or hands can make it difficult to walk or grip objects.
You may notice foot drop (difficulty lifting the front part of the foot).
5. Digestive Problems
If nerves in the digestive system are affected, you may experience:
Nausea, bloating, or vomiting
Diarrhoea or constipation
Loss of appetite
6. Dizziness or Fainting
Nerve damage can affect blood pressure control, leading to dizziness when standing up.
Some people experience rapid heart rate or fainting spells.
7. Urinary Issues
Bladder problems, such as incontinence or difficulty emptying the bladder, may occur.
Frequent urinary tract infections (UTIs) can also be a sign.
8. Sexual Dysfunction
Men may experience erectile dysfunction, while women may have vaginal dryness or reduced sensation.
Why Early Recognition is Important
Ignoring these symptoms can lead to serious complications, such as:
Foot ulcers (due to unnoticed injuries)
Infections that may require amputation
Digestive and heart problems
Increased risk of falls (due to balance issues)
Get Your Symptoms Checked By An Endocrinologist
How to Manage Diabetic Neuropathy
While diabetic neuropathy cannot be completely reversed, early detection and proper management can slow its progression and reduce symptoms. Here’s what you can do:
1. Keep Blood Sugar Under Control
Monitor your blood glucose levels regularly.
Follow your doctor’s advice on medications, insulin, or diet.
2. Healthy Eating Habits
Eat a balanced diet rich in fibre, whole grains, and lean proteins.
Avoid processed sugars and excessive carbohydrates.
3. Regular Exercise
Walking, swimming, or yoga can improve circulation and nerve function.
Avoid high-impact activities if you have foot numbness.
4. Foot Care is Crucial
Check your feet daily for cuts, blisters, or swelling.
Wear comfortable, well-fitting shoes to prevent injuries.
Avoid walking barefoot.
5. Pain Management
Over-the-counter pain relievers (as advised by a doctor) may help.
Some people benefit from capsaicin cream, acupuncture, or physical therapy.
6. Quit Smoking & Limit Alcohol
Smoking worsens circulation, and alcohol can further damage nerves.
7. Regular Medical Check-ups
Visit your doctor for nerve function tests if you notice symptoms.
When to See a Doctor?
If you experience any of the symptoms mentioned, consult a doctor immediately. Early treatment can prevent severe complications.
Book a Consultation with Apollo 24|7
If you suspect diabetic neuropathy or need expert advice, you can schedule a consultation with specialists at Apollo 24|7. They can guide you on the best treatment options and preventive care.
Conclusion
Diabetic neuropathy is a serious but manageable condition. By recognizing the symptoms early and taking proactive steps, you can protect your nerves and maintain a good quality of life. If you have diabetes, stay vigilant, follow a healthy lifestyle, and seek medical help when needed.
Get Your Symptoms Checked By An Endocrinologist
Get Your Symptoms Checked By An Endocrinologist
Dr. Nithin Reddy Modhugu
Endocrinologist
6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)
Hyderabad
Dr. Nithin's Endocrine Clinic, Hyderabad
(100+ Patients)
Dr. Gayatri S
Endocrinologist
4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)
Nellore
Narayana hospital, Nellore
Dr. Arunava Ghosh
General Physician/ Internal Medicine Specialist
9 Years • MBBS,MD(GENL.MED.),DM(ENDOCRINOLOGY)
Kolkata
VDC Clinic, Kolkata
Dr. Venkata Rakesh Chintala
Endocrinologist
8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)
Krishna district
Sanjeevani Hospital, Krishna district
Dr. Shiva Madan
Endocrinologist
10 Years • MBBS , MD (General medicine) , DM (Endocrinology)
Bikaner
Sushma diabetes and Endocrine center, Bikaner
Get Your Symptoms Checked By An Endocrinologist
Dr. Nithin Reddy Modhugu
Endocrinologist
6 Years • MBBS, MD (General Medicine), DNB (Endocrinology)
Hyderabad
Dr. Nithin's Endocrine Clinic, Hyderabad
(100+ Patients)
Dr. Gayatri S
Endocrinologist
4 Years • Suggested Qualifictaion- MBBS, MD (Internal Medicine), DM (ENDOCRINOLOGY)
Nellore
Narayana hospital, Nellore
Dr. Arunava Ghosh
General Physician/ Internal Medicine Specialist
9 Years • MBBS,MD(GENL.MED.),DM(ENDOCRINOLOGY)
Kolkata
VDC Clinic, Kolkata
Dr. Venkata Rakesh Chintala
Endocrinologist
8 Years • MBBS,MD( GEN MEDICINE), DM ( ENDOCRINOLOGY)
Krishna district
Sanjeevani Hospital, Krishna district
Dr. Shiva Madan
Endocrinologist
10 Years • MBBS , MD (General medicine) , DM (Endocrinology)
Bikaner
Sushma diabetes and Endocrine center, Bikaner
