Diabetes and Your Feet: The Telltale Signs of Peripheral Neuropathy 

Living with diabetes means being aware of how it impacts various parts of your body — especially your feet. Peripheral neuropathy, a common complication of diabetes, can cause significant issues if left unchecked. 

The experienced team at Washington Foot & Ankle Sports Medicine in Kirkland, Washington, offers the following tips so you can recognize early warning signs and take action to protect your feet.

What is peripheral neuropathy?

Peripheral neuropathy refers to nerve damage, particularly in the hands and feet. In people with diabetes, high blood sugar levels can damage nerves over time, often leading to numbness, pain, or a tingling sensation. 

Peripheral neuropathy makes it difficult to notice injuries or changes in your feet, potentially leading to complications. The sooner you recognize the signs, the easier it is to prevent further damage.

Recognizing the early warning signs

Peripheral neuropathy often starts subtly, making it easy to overlook the initial signs. Paying close attention to how your feet feel can help you identify changes sooner, giving you a head start in preventing more severe complications.

Some early warning signs include:

Numbness and tingling

One of the first telltale signs of peripheral neuropathy is a gradual loss of feeling. This can manifest as numbness or a tingling sensation in your toes, similar to the “pins and needles” feeling when a limb falls asleep. If you notice that your feet feel different — either more numb or hypersensitive — it’s important to let your healthcare provider know. 

These symptoms may seem minor at first, but catching them early is key to effective management.

Burning or shooting pain

Many people with peripheral neuropathy describe their pain as a burning or shooting sensation. It can range from mild discomfort to severe pain, making sleeping difficult or performing daily activities difficult. Unlike typical foot pain, this type often worsens at night or during rest periods. 

If you’re experiencing unusual pain that doesn’t seem to have a clear cause, it may be a sign of nerve damage.

Muscle weakness and coordination issues

Peripheral neuropathy can also impact your balance and muscle strength. As the nerves in your feet become damaged, you may find it harder to walk, or notice that your feet feel weaker. This can lead to coordination problems, making falls or injuries more likely. 

If you’re having trouble keeping your balance, it may be due to underlying nerve damage affecting your ability to sense where your feet are in space.

Changes in skin and nail health

Nerve damage affects more than just sensation — it can also alter how your skin and nails look. Reduced blood flow to your feet might result in dry, cracked skin, making you more susceptible to infections. You may also notice changes in nail health, such as brittleness or slow growth. 

Keep an eye on your feet, and check for any unusual changes. Simple, regular inspections can help you catch problems before they become serious.

The importance of early detection

Catching peripheral neuropathy early makes a big difference in preventing serious foot problems. Untreated neuropathy can lead to sores, ulcers, and even infections that may require surgical intervention. By understanding the warning signs, you can take proactive steps to safeguard your foot health.

Taking care of your feet

Preventive care is your best defense against complications from peripheral neuropathy. Make it a habit to inspect your feet daily — check for cuts, blisters, or any abnormalities. Keep your feet clean, moisturize regularly to prevent cracks, and wear comfortable, well-fitting shoes to avoid pressure points. 

Schedule regular appointments with our team for foot health and with your primary care doctor for managing your diabetes to help stay ahead of any potential issues.

When to seek professional help

If you experience numbness, pain, changes in skin texture, or muscle weakness — don’t wait. Call the office or schedule an appointment online at your earliest convenience. Early intervention is the key to minimizing damage and maintaining your mobility. 

With proper care and attention, you can continue to lead an active, healthy life despite the challenges of peripheral neuropathy.