Please check HbA1c, fasting and post-meal blood glucose, along with kidney function, vitamin B12 and thyroid profile if appropriate. A clinical examination of both feet is important, including sensation, vibration, 10-g monofilament testing and foot pulses. If neuropathic pain is confirmed, it can be treated effectively with appropriate medicines; the choice should be made after assessing your medical history and kidney function.

Please inspect your feet regularly for cuts, blisters, redness or ulcers, avoid walking barefoot and use comfortable footwear. If there is a wound, colour change, marked swelling, weakness, or rapidly worsening pain, seek medical evaluation promptly.

Get HbA1c done to check average sugar control. Start Methylcobalamin (Vitamin B12) + alpha lipoic acid supplement (e.g. Nervup or Nervigesic). Consult me on Practo for a proper diabetes and neuropathy management plan.