Diabetic patients with tingling in the back may be caused by local ischemia or neuropathy, firstly, blood sugar should be controlled, and secondly, drugs can be taken to repair the nerves, and it is also vital to improve microcirculation. 1. Control blood sugar: diabetic patients with back pain may be due to long-term high blood sugar caused by neuropathy, is a relatively common complication of diabetes, this situation first need to use hypoglycemic drugs to control blood sugar in the target range, can follow the doctor’s instructions to use metformin, acarbose, insulin and so on. 2. Nerve repair: After excluding other causes of neuropathy, such as cervical and lumbar spine lesions (nerve root compression, spinal stenosis, cervical and lumbar degeneration), cerebral infarction, etc., patients who are diagnosed with diabetic neuropathy can use methylcobalamin and nerve growth factor to improve their condition. 3. Improvement of microcirculation: By dilating blood vessels, improving the hypercoagulable state of blood and microcirculation, and improving the blood and oxygen supply to nerve cells, the clinical symptoms of diabetic neuropathy can be effectively improved. Commonly used drugs are prostaglandin E1, be prostaglandin sodium and so on. Diabetic patients should eat a reasonable and healthy diet, and take appropriate physical exercise to enhance their physical fitness. If there is any discomfort, consult a doctor as soon as possible.