Burning Feet at Night in Diabetes – Quick Guide
By Dr Priya Rathi • Pain Specialist in Pune
Why it happens:
• High sugar damaging nerves (diabetic neuropathy)
• Poor blood flow to legs
• Vitamin B12 deficiency (common with long-term metformin)
• Dry skin or infections
Symptoms:
• Burning, tingling, pins-and-needles
• Numbness or electric-shock pain
• Worse at night
What helps:
• Good sugar control
• Check and correct B12
• Warm foot-soak + moisturizer
• Avoid tight footwear
• Medicines like pregabalin or duloxetine (as advised)
• Ultrasound-guided dry needling to calm irritated nerves and improve circulation
When to seek help:
• Night pain disturbing sleep
• Numbness, wounds, or colour change
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