"Burning pain and itching in the extremities (paresthesia), especially when it worsens at night, is a classic clinical indicator of Peripheral Neuropathy. Given your mention of borderline
diabetes (Pre-diabetes), this may be an early sign of Diabetic Neuropathy, where elevated blood
sugar levels begin to irritate the nerve fibers in the feet. Other possibilities that need to be ruled out include a significant
Vitamin B12 deficiency or a localized fungal infection (Tinea Pedis), though the burning sensation points more strongly toward a nerve-related cause
Next Steps
"To review your
sugar reports and decide if you need nerve-calming medication or high-dose
Vitamin B12 supplements, please book a full consultation session via my Practo profile."
Health Tips
Catching these symptoms at the 'borderline' stage allows us to prevent permanent nerve damage through simple lifestyle and nutritional changes. Please book a full session to review your blood work