06/01/2026
A gentle nudge for anyone with diabetes, or anyone helping someone manage it.
Diabetes does not usually announce itself. And it does not announce its complications either. Most of the damage that changes lives starts quietly - in the feet, the kidneys, and the eyes - long before anything hurts.
This is not a scary post. It is the opposite. The earlier the conversation happens, the more options your care team has.
Three things to ask about early:
🦶 Feet. The most dangerous version of diabetic nerve damage is not always the painful one. Sometimes it is the foot that stops feeling. If you have noticed numbness, tingling, slow-healing sores, or feeling unsteady on your feet, mention it - do not wait.
🩺 Kidneys. NIDDK notes that about 1 in 3 adults with diabetes has kidney disease, and most people do not notice symptoms early. Two simple tests (a urine test and a blood test) usually do most of the screening. Yearly testing is recommended for type 2 diabetes, and yearly after more than 5 years for type 1. Your clinician will tailor this.
👁️ Eyes. About 1 in 3 people with diabetes older than 40 has some signs of diabetic eye disease. Most adults with diabetes should see an eye doctor once a year for a complete exam, unless their care team sets a different schedule. Seeing fine is not the same as being checked.
If it has been a while since you asked about any of these three, this is your nudge. Pick the one that has been waiting longest. Make that call.
Educational content, not personal medical advice. Sudden vision loss, severe eye pain, many new floaters or flashes, or a serious foot wound need urgent care.
– Dr. Asamoah Oteng, PharmD