Diabetic neuropathy is a complication of diabetes and usually occurs in association with chronically elevated blood glucose levels. Elevated glucose levels may damage the nerves—usually in the feet and legs—and this can result in pain, discomfort, and/or numbness. If you are not able to feel a puncture of the skin that causes a wound—or the pain that follows—a cut or scratch may be overlooked and eventually become infected.

Maintaining good glucose control (an A1C test—a measure of average blood glucose levels over the preceding two to three months —of 7 percent or less), as well as healthy blood pressure and cholesterol levels, has been shown to prevent the progression of neuropathy. If you have numbness, you need to be vigilant about examining your feet for any unusual scratches or wounds. A foot self-exam every day will help you avoid further complications.

Neuropathy is not reversible, but its symptoms are manageable. It is absolutely crucial to discuss your options for treatment with your doctor before trying any treatment. Your doctor will be able to help you find the solution that works for you.