What are the early changes

What are the early changes that can occur in a diabetic foot? So the earliest change that we do know, and this is often exists ahead of the diagnosis, there's a couple of things. So fungal infections of the skin and the nails often manifest in themselves and patients will present to their GPs with that. The other big common occurrence is tingling and pins and needles affecting both feet and often at night time so they're symptoms that a lot of our population don't relate to diabetes but they're the commonest.