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Why do people with diabetes lose sensation in their feet, and how to properly care for them?

Vietnam.vn EN
12/03/2026 00:32:00

Diabetes is an increasingly common chronic disease, especially among middle-aged and elderly people.

This is a warning sign of diabetic neuropathy, and if left undetected and untreated, it can lead to serious consequences such as foot ulcers, infections, or even amputation.

In fact, many patients only realize they have lost sensation when damage has already occurred in their feet. Therefore, understanding the causes and knowing how to properly care for the feet is crucial in helping patients prevent dangerous complications.

Early warning signs of foot numbness in people with diabetes.

Loss of sensation in the feet of people with diabetes is primarily related to peripheral neuropathy complications.

When blood sugar levels remain high for an extended period, the small blood vessels that nourish the nerves become damaged. This prevents the nerves from receiving enough oxygen and nutrients, thereby impairing their signal transmission function.

As a result, the sensory nerves in the feet are gradually damaged, causing patients to lose the ability to sense temperature, pressure, or pain. This is why many people with diabetes cannot feel scratches, burns, or sharp objects piercing their feet.

Vì sao người đái tháo đường bị mất cảm giác ở bàn chân và cách chăm sóc đúng- Ảnh 1.

In addition to common complications such as cardiovascular, kidney, or eye problems, many patients also experience loss of sensation in their feet.

Furthermore, prolonged hyperglycemia leads to the accumulation of toxic metabolic products in the body, directly damaging the structure of nerve cells.

Another factor contributing to the increased risk of nerve complications is poor blood circulation. In people with diabetes, blood vessels are more prone to atherosclerosis and narrowing, reducing blood flow to the feet. When the blood supply is restricted, the tissues and nerves in this area are more susceptible to damage.

Loss of sensation in the feet doesn't usually happen suddenly but develops gradually. Initially, patients may only feel mild numbness in the toes or soles of the feet.

Some people experience tingling, like ants crawling or burning sensations in their feet, especially at night. These sensations can make it difficult for sufferers to sleep or cause prolonged discomfort.

Over time, sensation in the feet gradually decreases. Patients may no longer feel clearly when touching their skin or when walking barefoot on hot or cold surfaces.

In more severe stages, patients almost completely lose sensation in their feet. This makes them susceptible to injuries without realizing it.

Therefore, in many cases, patients only discover the condition when ulcers or infections have already appeared on their feet.

Why is losing sensation in the feet dangerous?

The feet bear significant pressure during movement. When sensation is impaired, patients may have difficulty recognizing minor injuries such as scratches, blisters, or cuts.

These minor injuries, if not detected and treated promptly, can progress into deep ulcers. This is especially true for people with diabetes, where wound healing is often slower due to poor blood circulation and a weakened immune system.

If the ulcer becomes infected, bacteria can spread into deeper tissues, causing cellulitis or bone infection. In severe cases, patients may require surgery to amputate part of the foot or lower limb to prevent the infection from spreading.

According to medical experts, diabetic foot complications are one of the leading causes of non-traumatic limb amputation.

How to care for your feet if you have diabetes.

To prevent complications such as loss of sensation in the feet, people with diabetes need to pay attention to daily foot care.

First and foremost, good blood sugar control is the most important factor. When blood sugar is maintained at a stable level, the risk of nerve damage is significantly reduced.

In addition, patients should check their feet daily. Carefully observing the soles of the feet, between the toes, and heels helps detect early signs of abnormalities such as scratches, blisters, cracks, or ulcers.

Maintaining foot hygiene is also very important. Patients should wash their feet daily with warm water and mild soap, then dry them thoroughly, especially between the toes. However, avoid soaking feet in water that is too hot, as patients may not be able to sense the temperature and could easily get burned.

Additionally, moisturizing the skin on your feet helps prevent dryness and cracking. However, avoid applying moisturizer between your toes, as this area needs to be kept dry to prevent fungal infections.

Choosing appropriate footwear: Shoes also play an important role in protecting the feet of people with diabetes.

Patients should choose well-fitting, soft shoes with firm soles to reduce pressure on the feet when moving. Before putting on shoes, they should check the inside to ensure there are no hard or sharp objects that could cause injury.

Additionally, patients should wear soft, absorbent socks to keep their feet dry and ventilated. Avoid going barefoot, even indoors, as this increases the risk of abrasions or injuries.

In summary: Loss of sensation in the feet is a silent complication but can lead to serious consequences if not properly addressed. Therefore, people with diabetes need to proactively care for their feet daily and seek medical attention when experiencing any unusual symptoms to protect their long-term health.

by Vietnam.vn EN