Diabetes causes nerve damage. The sensory nerves in the hands and feet are particularly susceptible. Diabetic neuropathy may be worse in those with poorly controlled blood sugars, but can occur in almost anyone. Sensory disturbances: burning, tingling, numbness, and pain are characteristic. Good management of your diabetes is necessary, but oral and topical medications, as well as, supplements may be helpful in controlling these painful sensations. Your feet should be checked annually to assess your level of sensation.