Over half of all individuals with diabetes will experience neuropathy over the course of the disease. Diabetic neuropathy typically affects the small nerves in the toes and feet, but the fingers and hands may also be affected. Diabetic neuropathy often presents as a burning, tingling, electric, or “pins and needles” sensation. The pain usually presents symmetrically, meaning both feet or both hands are affected equally. The symptoms typically affect the toes at first, but may spread to affect the feet, ankles and lower legs if the condition worsens.