Any Medication to Improve Diabetic Feet Blood Flow?

by Ray




Question from Ray:


Many people with diabetes lose feeling in their feet from poor blood flow and damaged blood vessels. Is there a known medication that can improve blood flow to the feet and reduce numbness?




Answer by Dr. Albana Greca, MD, MMedSc, Family Physician



Hi Ray,



This is an important question because numbness in a diabetic foot should never be brushed aside. The first thing I would explain is that numbness does not always mean poor circulation. In many people with diabetes, the main cause is nerve damage, or diabetic peripheral neuropathy. Poor blood flow can be present too, and some people have both problems at the same time.




Quick Answer


There is no single medicine that reliably brings feeling back to numb diabetic feet. Treatment depends on whether the problem is mainly nerve damage, reduced circulation, or both.


The best next step is a proper foot exam, including pulses, sensation testing, skin and wound checks, and circulation testing when needed.




Numbness Is Often a Nerve Problem



Diabetic neuropathy damages the nerves that carry sensation from the feet. It can cause numbness, tingling, burning, pins-and-needles, or pain. You can read more about these symptoms in our guide to diabetic neuropathy symptoms.



Reduced circulation, or peripheral artery disease, may cause a different pattern: cold feet, weak pulses, slow-healing wounds, color changes, or pain in the calves or legs when walking. Diabetes can increase the risk of both neuropathy and circulation problems.



Is There Medicine to Improve Blood Flow?



If poor circulation is confirmed, treatment usually focuses on the cause and the overall vascular risk. That may include stopping smoking, controlling blood pressure and cholesterol, improving diabetes control, a supervised walking program, and medicines recommended by your doctor.



Some medicines can help certain people with leg symptoms from peripheral artery disease, but they do not usually restore feeling if the numbness is caused by nerve damage.



When circulation is severely reduced, a vascular specialist may recommend a procedure such as angioplasty, stenting, or bypass surgery. Our diabetes and feet page explains why circulation and nerve damage both matter.



What About Medicine for Nerve Symptoms?



Medicines used for diabetic nerve pain may reduce burning, stabbing, tingling, or painful sensitivity, but they usually do not reverse numbness or repair circulation.



Depending on the person, a doctor may consider medicines such as duloxetine, pregabalin, gabapentin, or another option. The choice depends on symptoms, kidney function, age, other medicines, and side effects. See our guide to diabetic nerve pain.



What Helps Protect Numb Diabetic Feet?



When feeling is reduced, prevention becomes especially important because a cut, blister, or burn may not hurt enough to warn you.




  • Keep glucose as close to your personal target as safely possible.

  • Do not smoke.

  • Keep blood pressure and cholesterol well managed.

  • Check both feet every day for cuts, redness, blisters, swelling, or color change.

  • Wear well-fitting shoes and clean socks.

  • See a podiatrist for calluses, corns, nail problems, or deformities.



Our diabetic foot care guide gives practical steps for protecting feet when sensation is reduced.



What Tests May Be Needed?



Your doctor may check foot pulses, skin temperature, sensation with a monofilament, vibration, reflexes, and the shape of the foot. If circulation is a concern, tests such as an ankle-brachial index, toe pressures, Doppler ultrasound, or other vascular testing may be considered.



Blood tests may also help look for other causes or contributors to numbness, such as vitamin B12 deficiency, kidney disease, thyroid problems, or poor glucose control.



Be Careful With Home Remedies



I would avoid heating pads, strong creams, acids, herbal applications, or home wound remedies on a numb diabetic foot unless your clinician specifically recommends them. If you cannot feel temperature or pain normally, a burn or skin injury can become serious before you notice it.




Important Safety Note


Seek urgent medical care for a foot ulcer, black or blue skin, a suddenly cold foot, spreading redness, pus, fever, new swelling, severe pain, or a wound that is not healing. These can be signs of serious infection or poor blood flow.





Doctor's Note


Ray, if you were sitting in my office, I would first want to know whether your numbness is coming from the nerves, the circulation, or both. The right treatment depends on the cause. Pain medicines may ease neuropathy symptoms, while circulation problems may need vascular treatment. A proper foot and circulation exam is the key first step.




Related Questions




Related Resources




Educational safety note: This answer is for general diabetes education and does not replace personal medical advice. Do not start, stop, or change circulation medicines, nerve medicines, supplements, foot creams, or wound treatments without speaking with your healthcare professional.



Last medically reviewed: August 2026.



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Improve Diabetic Feet Blood Flow
by: Bonny Damocles

COMMENT:

Please understand that I am not a doctor of medicine nor an expert on type 2 diabetes, nor an authority on anything. I am just a plain type 2 diabetic.

My only solution to avoiding complications caused by type 2 diabetes is daily exercise, 2 hours total every day. I exercise immediately before each of my 3 daily meals and before bed. I eat only 3x/day. I eat as long as I exercise every day.

What do I eat? Only heart-healthy, natural, fresh (raw and cooked), unprocessed, and whole foods which are mostly carbohydrates.

Why carbohydrates? you may ask. Because I love them and they are the easiest foods to digest. Surely, they cause high fasting and 2-hour after-meal sugar readings but because of the daily exercise I use as my only anti-diabetes med, my A1c's have been between 5.2% and 6.3%. I have no diabetes complications yet. I was diagnosed based on a fasting blood sugar reading of 468 mg/dl in July 1991.

Am I encouraging you to follow my way of treating my disease? No.

What I encourage you to do is find out for yourself based on everything you hear from doctors of medicine, type 2 diabetics, and experts on diabetes what will keep you healthy and happy and have a long and productive life.

Enjoy!!!

Bonny Damocles


COMMENT-REPLY: Hi Bonny,

Thank you for being sincere and share with us your experience and for actively following our website.

I wanted to add that there is a lot of information available and everyone can reach the info he/she wants to.

However, as you said before, none can substitute a personal doctor's advice, which is based on one's specific medical data.

We are trying to help and support those diabetics who want to fight against their condition naturally, which is the safest mode, without misjudging the drugs' work.

Thank you again.

Dr.Alba


MDs are the Authority on Cure and Treatment of Diseases

Dr. Alba,

Medical doctors are always the best people who cure and treat diseases. They have the needed education and special talent to know what ails people.

Everything that I have been doing to effectively control my type 2 diabetes came from Dr. Adelto Adan, a Cuban cardiologist in the Mid-Michigan Medical Center. I listened to everything he told me when he diagnosed me in July 1991. As often as I find time, I visit him at his office. At age 83, he still works as a consultant in our town's hospital.

I am very proud and very happy to report that he plans to work forever, which to me means that I have a shining star who will always be there for my guidance.

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