Coldness in both legs and pain in the soles in a diabetic patient is most commonly due to Diabetic Peripheral Neuropathy â nerve damage caused by long-standing high blood
sugar. The most important first step is ensuring blood sugar levels are well-controlled, as poor control is the main driver of progression. A Nerve Conduction Study (NCS) can confirm neuropathy and assess its severity.
Next Steps
Get fasting and post-meal blood
sugar,
HbA1c, and a peripheral Doppler ultrasound (to rule out poor blood flow) done. Consult a physician for medication and foot care advice. Please consult me directly on Practo for a detailed evaluation.