Overview
Have you noticed a pins-and-needles sensation in your fingers, hands, toes, or feet—especially when you're not sitting or sleeping in an odd position? While occasional tingling is common, persistent or unexplained sensations can signal a deeper issue.
Tingling is your body's way of telling you something might be off with your nerves, circulation, or metabolic function. Understanding the cause is the first step toward addressing it.

Why do people experience tingling in their hands or feet?
This kind of tingling—often called "paresthesia"—can result from a range of issues. One of the most common culprits is nerve damage from elevated blood sugar, a condition known as diabetic neuropathy. In fact, tingling is often one of the earliest signs of insulin resistance or undiagnosed type 2 diabetes.
Other common causes include vitamin B12 deficiency, thyroid imbalances, circulatory problems, or pressure on a nerve—such as carpal tunnel syndrome or sciatica. Chronic inflammation or autoimmune conditions can also interfere with healthy nerve signaling.
While sometimes harmless, ongoing tingling should always be evaluated—especially when paired with weakness, numbness, or coordination issues.
When should you talk to a doctor about tingling?
You should seek medical attention if:
- The tingling is persistent or occurs without a clear trigger
- It affects both sides of your body or worsens over time
- It's accompanied by numbness, burning, weakness, or balance issues
- You've had a recent diagnosis of high blood sugar, diabetes, or thyroid disorder
- It's interfering with your ability to do daily tasks or sleep comfortably
These signs could indicate a nerve-related or metabolic issue that deserves closer evaluation.
How Meto Can Help
At Meto, we help uncover the root causes behind nerve-related symptoms like tingling and numbness. We begin with comprehensive lab testing to evaluate for conditions such as insulin resistance, prediabetes, vitamin B12 deficiency, thyroid dysfunction, or other metabolic and nutritional issues that affect nerve health.
If testing confirms something like diabetic neuropathy, low B12, or a thyroid imbalance, your matched specialist will create a personalized treatment plan. This may involve medication, supplements, blood sugar management, or referrals for physical therapy depending on your results.
Even if labs are normal, our team—including nutritionists and health coaches—can help you reduce inflammation, optimize nutrient intake, and prevent progression through lifestyle changes.
You can start with a virtual consultation to talk through your symptoms and build a plan that protects your long-term nerve health.