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Warning-sign checks

Diabetic neuropathy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for blackened or blue tissue, a cold and pale foot, rapidly spreading infection, severe illness with confusion or difficulty staying awake, or sudden weakness of the face, arm, or leg.

    Sudden speech difficulty, chest pain, or fainting also requires emergency assessment rather than being assumed to be neuropathy.

    And for anyone, someone who:

    • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek prompt, same-day medical advice for:

    • A new blister, cut, ulcer, or drainage from a foot
    • A foot that becomes red, warm, swollen, or changes shape
    • Spreading redness, increasing swelling, or signs of infection
    • A wound that is not beginning to heal
    • New weakness or rapidly worsening sensation

    And for anyone, someone who:

    • has a new severe headache unlike any they have had before
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you develop ongoing tingling, burning, numbness, unexplained weakness, balance problems, digestive changes, or dizziness when standing.

    New bladder or sexual symptoms also deserve assessment.

    These symptoms may have causes other than diabetic neuropathy.

Every sign above is quoted from the sofidex article on Diabetic neuropathy. If you are not sure, err upward — it is always reasonable to be checked.