Decoding the Symptoms of Diabetic Polyneuropathy: What to Watch For
Published: Sep 25, 2024
Recognizing the symptoms of diabetic polyneuropathy early can significantly improve outcomes and quality of life.
Contents
Common Symptoms Explained
Diabetic polyneuropathy typically starts with numbness, tingling, and pain in the toes and feet. These symptoms often worsen at night and may progress to the hands. Many people may not notice symptoms at first, but physical exams often reveal sensory loss.
The 'Stocking-Glove' Pattern
As the condition worsens, symptoms spread from the toes up to the legs and then to the hands, creating a 'stocking-glove' pattern of sensory loss. This pattern indicates the longest nerve fibers are affected first. Motor symptoms like weakness appear later in severe cases.

Complications from Symptoms
Nerve damage can lead to ulcers and deformities due to loss of sensation. Foot ulcers are common and can become infected, leading to serious complications. Early symptom recognition and management can help prevent these severe outcomes.
Frequently Asked Questions
Numbness and tingling in the toes and feet.
It shows how symptoms progress and which nerves are affected.
Yes, they can cause ulcers and deformities.
Early recognition can prevent severe complications.
Wrapping Up
Understanding the symptoms of diabetic polyneuropathy is key to managing the condition effectively.
References
- Franse LV, Valk GD, Dekker JH, et al. 'Numbness of the feet' is a poor indicator for polyneuropathy in Type 2 diabetic patients. Diabet Med 2000; 17:105.
- Feldman EL, Stevens MJ, Thomas PK, et al. A practical two-step quantitative clinical and electrophysiological assessment for the diagnosis and staging of diabetic neuropathy. Diabetes Care 1994; 17:1281.
- Callaghan BC, Price RS, Feldman EL. Distal Symmetric Polyneuropathy: A Review. JAMA 2015; 314:2172.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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