Q I've had diabetes for a long time and lately my soles burn. Should I consider this the same symptom?
A In people with long-standing diabetes, burning soles can stem from peripheral neuropathy, so it needs to be distinguished. If numbness or tingling is also present, checking your diabetes control and the state of your feet comes first. This should not be assumed without checking.
Detailed Answer
Sole heat in someone with a diabetes history can look similar to fluid-deficiency heat on the surface, but the cause may differ. Diabetic peripheral neuropathy often brings burning, tingling and reduced sensation together from nerve damage itself, and it can also come with wounds that heal poorly.
Korean Medicine Clinic Perspective
If you have a diabetes history along with reduced foot sensation and slow-healing wounds, it is safest to first check for diabetic foot. After that, a Korean medicine approach that restores flow to the periphery can be added. Getting the order right matters for safety.
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