– Symptoms: No pain sensation in feet and hands, feeling like the function is diminishing. Due to reduced pain sensitivity, when the skin is scratched, punctured, or burned, the patient may not notice, which can lead to diabetic foot disease.
3. Occasional numbness
– Symptoms: A tingling feeling or sensation like wearing socks, walking on cotton, or feeling like ants are crawling on the skin. This usually happens symmetrically and gradually spreads upwards, starting from the toes and progressing to the feet and possibly affecting the hands later.
4. Dry and itchy skin
– Symptoms: Dry, itchy skin with loss of elasticity. Autonomic nerve damage affects sweat glands, leading to insufficient or absent sweating in the feet, which causes the skin to become dry and itchy.
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5. Difficulty climbing stairs
– Symptoms: Muscle atrophy, muscle weakness, difficulty climbing stairs. One or both thighs may be affected, and in severe cases, the person may have trouble standing up or walking steadily. This is due to motor nerve damage, leading to muscle atrophy, weakness, and difficulty climbing stairs or walking steadily.
6. Severe p.ain
– Symptoms: Sudden, intense pain in the feet and hands, feeling like pricking needles, burning, or electric shocks, with even a light touch causing pain. The pain tends to worsen at night.
Approximately 50% of diabetic patients experience pain due to peripheral neuropathy complications, also known as diabetic neuropathic pain. Sometimes, the pain can prevent the patient from sleeping at night, causing great discomfort.
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