Diabetic Neuropathy Symptoms: How Diabetes Damages Your Nerves
I want to answer the question I hear most in clinic when feet start to tingle: are the nerves damaged and what can be done.
Diabetic neuropathy is nerve damage caused by long-standing high blood sugar, and it most often affects the feet and hands. This nerve damage dulls feeling, so a cut or blister on the foot can go unnoticed until it becomes serious. Dr. Rizwan Niazi tests the feeling and reflexes in your feet at the first visit, so diabetic neuropathy treatment in Lahore starts from a clear diagnosis.

ذیابیطس میں بلڈ شوگر زیادہ دیر تک بلند رہنے سے اعصاب کو نقصان پہنچتا ہے، جس کے باعث ہاتھوں اور خاص طور پر پاؤں میں سن پن، جھنجھناہٹ، جلن اور درد محسوس ہوتا ہے۔ ڈاکٹر رضوان نیازی بلڈ شوگر کو قابو میں رکھ کر اور پاؤں کا معائنہ کر کے اعصاب کی حفاظت کرتے ہیں تاکہ تکلیف کم ہو اور بڑی پیچیدگیوں سے بچا جا سکے۔ بہتر علاج کے لیے ماہرِ غدود سے رجوع کریں۔

The longest nerves in the body run to the feet, so high blood sugar damages them first.
Raised glucose injures the small blood vessels that nourish the nerves. The damage usually begins in the toes and spreads upwards, and the hands can be affected later. For the longer explanation, read how diabetes damages your nerves.
The main symptoms are numbness, tingling, burning pain, sudden sharp pains and skin that hurts at a light touch, and they usually start in the feet.
A loss of feeling in the feet or toes, often the first change people notice.
A persistent tingling or pins and needles sensation in the hands or feet is a common early sign.
A burning or hot feeling in the feet and lower legs, often worse at night.
Sudden shooting, stabbing or electric-like pains that come and go without warning.
Skin so sensitive that even the weight of a bedsheet feels uncomfortable.
Weakness or loss of balance can develop once the nerves that control movement are affected.

There are four types, and knowing which one you have guides the right care.
Once the examination has confirmed the diagnosis, treatment has two aims: ease the pain and slow further nerve damage.
Blood sugar, blood pressure and cholesterol are managed as one plan, because together they drive the damage.
Nerve symptoms get their own treatment plan alongside the sugar control.
Regular foot checks and clear advice help prevent ulcers and other serious complications.
Nerve pain from diabetes is treatable. The underlying damage may remain, but the burning, tingling and pain can often be eased with the right treatment alongside good diabetes control, so you sleep better. If a sore or ulcer has already started, see diabetic foot checks and wound care.

Keep blood sugar, blood pressure and cholesterol in range, stop smoking, limit alcohol and check your feet every day.
What raises the risk
Persistently high blood sugar is the main cause of damage to the nerves.
The longer you have lived with diabetes, the greater the chance of neuropathy.
Raised blood pressure adds strain to the small vessels that feed the nerves.
Smoking narrows blood vessels and speeds up nerve and circulation damage.
Regular heavy drinking is directly toxic to nerves and makes neuropathy worse.
Raised cholesterol harms the tiny vessels that supply the nerves.
Message the clinic on WhatsApp or call to book, Mon to Sat, by appointment, even if the numbness seems minor.
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Existing nerve damage is hard to reverse. Good control of blood sugar, blood pressure and cholesterol can stop it getting worse, and the pain itself can be treated, as the treatment section above explains.
See a diabetes doctor such as an endocrinologist, because the cause is blood sugar and the nerve pain needs treating as well. Dr. Rizwan Niazi treats both at his clinic in DHA Phase 4.