Why do diabetic patients experience back pain and cold feet?

Patient's question:

I am a senior diabetic patient. Although it is summer now, I always feel back pain and my feet are cold. Why is this the case?

Doctor's answer:

Diabetes can lead to multiple systemic risks due to absolute or relative insufficient insulin secretion and reduced insulin sensitivity in target tissue cells, resulting in a series of catabolic disorders involving proteins, fats, water, and electrolytes. Your condition may be related to diabetic peripheral neuropathy. It is necessary to check the patency of the lower limb blood vessels. You should use hypoglycemic drugs and antihypertensive drugs to control them within target values, and it is necessary to control blood pressure and blood sugar well.

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