Diabetes alone usually does not have symptoms related to hands and feet, but when diabetes is complicated by peripheral neuropathy, diabetic foot and other diseases, there can be a series of symptoms such as abnormal sensations in the hands and feet, pain, foot deformity and so on. 1. Diabetic peripheral neuropathy: there can be pain in the hands and feet, sensory abnormalities and other symptoms, pain can be manifested as pins and needles, burning pain, shooting pain and other symptoms. There can also be distal symmetric polyneuropathy, with distal sensory-motor nerve involvement in hands and feet, typical performance is glove or sock-like distribution, lower limbs are more serious than upper limbs. 2. Diabetic foot: there can be sensory abnormalities of the foot, foot deformity, foot ischemia, etc. Foot ischemia can cause difficulty in walking, pain, etc., and can be combined with foot infection, ulcers, gangrene and other conditions. Diabetic patients with abnormal symptoms of hands and feet are recommended to go to the hospital and ask the doctor to make a judgment.