Type 2 diabetes and neuropathy

Nerve damage may cause burning, tingling, electric-shock sensations, numbness or unusual sensitivity. It can affect balance and make heat, pressure or a small cut harder to notice. Some people have pain, while others mainly lose sensation. Peripheral neuropathy can also affect nerves involved in digestion, sweating or sexual function.

A foot injury can become infected when it is not noticed early. Reduced blood flow may further slow healing. Neuropathy is assessed through symptoms and a foot examination; other causes of numbness may need consideration too.

Check both feet each day, including between the toes, for blisters, cracks, colour change, swelling or drainage. Wear well-fitting shoes and avoid walking barefoot. Test bath water with a hand or thermometer rather than relying on numb feet.

Keep diabetes reviews, use prescribed treatment, and discuss pain rather than self-medicating. Gentle activity, stopping tobacco and managing blood pressure can support circulation and function. A podiatry referral may help if sensation is reduced or a foot problem keeps returning.

Arrange prompt medical review for any foot break in the skin, warmth, spreading redness, swelling, pus, fever or a darkening toe. Get urgent help for sudden one-sided weakness, facial drooping or trouble speaking, because these can signal a Stroke rather than gradual neuropathy.

Ask how sensation and pulses in your feet will be checked, whether you need podiatry, and which pain treatments fit your kidney function and other medicines. Ask how to manage a new blister or wound.