I have neuropathy from diabetes. Lately I have been having muscle spasms in my toes . What can I do ? It hurts so much when I stretch my feet or legs,

Try a banana, low potassium levels can cause muscle spasms and cramps.

Are you diabetic? I'm no doctor but my wife is diabetic and has diabetic neuropathy in her feet. When her blood sugar spikes high, her feet cause her pain too. I have pain and burning in my feet also but it is caused by nerve damage in my spine. For me, the longer I stand or walk, the stronger the pain gets. I would see a doctor if I were you. If possible, when your pain comes on so that they can test your sugar during your symptoms. This would be something that the nurse could do, probably without an appointment depending upon your relationship with your doctor. Good luck.

hi Frederick.
Paresthesia. This is the medical term for the annoying and sometimes painful tingling, numbness, and "pins and needles" sensations that can sometimes come from diabetes. ... The cause of our tingling and numbness from diabetes is usually peripheral neuropathy, or nerve damage in the arms, legs, hands, and feet.16 Dec 2014

"Pins and Needles" and Diabetes - Diabetes Self-Management

https://www.diabetesselfmanagement.com/blog/pins-needles-diabetes/
What causes tingling on the bottom of the feet?Tingling hands, feet, or both is an extremely common and bothersome symptom. Suchtingling can sometimes be benign and temporary. ... Such nerve damage is known as peripheral neuropathy because it affects nerves distant from the brain and spinal cord, often in the hands and feet.Causes of Tingling in Hands and Feet - WebMDhttps://www.webmd.com/brain/tingling-in-hands-and-feetSearch for: What causes tingling on the bottom of the feet?
to read up more go to this link.
Pins and needles under my feet Google Search

if gout or arthritis is not the cause
Gout Causes symptoms and treatments
any pain at that level you need to
get to a medical practitioner and diabetic education specialist
for treatment and advice

loss of circulation to the foot and toes is serious

if you dont want to loose toes
keep the diet and blood sugar levels under control and steady
as close to 6 as possible

Swelling of the leg may involve a noticeable distension of the shin or calf, ankles, feet or toes. Foot swelling may be a common occurrence which most of us will experience at some point in life after a long day of standing or sitting but may also be an indication of a more serious pathology as in certain cardiovascular disorders.
Recurrent or persistent swelling of the feet should be investigated by a medical practitioner especially if you have a history of cardiovascular disease or have noticed a change in color, sensation or mobility of the leg, foot or toe.
Blood rich in oxygen and nutrients flows through the arteries to the target area. Blood carrying deoxygenated blood returns to the heart via the veins where it is quickly routed to the lungs to be replenished with oxygen.
Blood flowing to the leg has to return to the heart through a group of veins with intermittent valves located throughout the course of the vein. This venous blood (blood in the veins that is returning to the heart) has to flow against gravity and since the pressure is usually lower at the feet, other muscles of the leg assist with 'pumping' this blood back to the heart. This muscle pump is most active when we are walking and least when we are standing stationary or sitting. Blood travels short distances up the vein and backflow of blood is prevented by a series of valves in these veins.
Working alongside the blood vessels are the lymphatic vessels which return lymphatic fluid (lymph) back up the body to empty into the blood system.
Swelling of the leg usually occurs as a result of an inadequate flow of blood or lymphatic fluid back up to the torso of the body. However other localized causes may further contribute to swollen feet, ankles or toes.

Idiopathic leg cramps

Although the cause of idiopathic leg cramps is unknown, there are a number of theories about what might cause idiopathic leg cramps. These include:

• abnormal nerve activity during sleep which causes the muscle of the leg to cramp
• excessive strain placed on leg muscles, such as when exercising, may cause the muscles to cramp at certain times
• a sudden restriction in the blood supply to the affected muscles

Also, tendons naturally shorten over time as a person gets older, which may explain why older people are particularly affected by leg cramps. Tendons are tough bands of tissue that connect muscles to bone. If your tendons become too short, they may cause the muscles connected to them to cramp.
Secondary leg cramps
Secondary leg cramps are caused by an underlying condition or another identifiable cause. These include:

• pregnancy: the extra weight of pregnancy can place strain on the leg muscles, making them more vulnerable to cramping
• exercise: leg cramps are often experienced when resting after exercise
• neurological conditions (conditions that affect the nerves in your leg muscles): for example, motor neurone disease or peripheral neuropathy
• liver disease: if your liver stops working properly, toxins will build up in your blood, which can make your muscles go into spasm
• infection: some types of bacterial infection, such as tetanus, can cause muscle cramps and spasm
• toxins: in some people, high levels of toxic (poisonous) substances in the blood, such as lead or mercury, can cause leg cramps
• dehydration: in some people, low levels of water in the body can lead to a drop in your salt levels, which can trigger muscle cramps

Medication

Certain medications have been known to cause leg cramps in a small number of people. These include:

• diuretics: these remove fluid from the body and are used to treat conditions such as high blood pressure, heart failure and some types of kidney disease
• statins: these are used to treat people with high cholesterollevels in their blood
• raloxifene: this is used to prevent osteoporosis (thinning of the bones) in women who have experienced the menopause
• nifedipine: this is used to treat angina and Raynaud's phenomenon
• nicotinic acid: this is used to treat high cholesterol

Here are some of the effective shin splints stretches:
1) In a kneeling position, point your toes out behind and gently sit back on your heels pressing the tops of the feet towards the ground.
2) Standing arm length from a wall, put your hands on the wall while keeping your feet and knees straight, then lean forward as far as possible.
3) Standing with your feet flat, bend your knees forward as far as possible keeping your heels on the floor.
4) Put feet flat on the ground and have a partner hold them down. Partner applies resistance to your toes and you lift them up against the pressure.
5) Sitting with your left ankle on right knee, apply pressure to inside of your foot (near big toe) with hand, then and turn your foot up and in, using the leg muscles.
6) In the same position as above, put pressure to the outside of the foot (near little toe) with your hand, and turn foot down and out using the leg muscles.
7) In the same position as above, put pressure to the top of foot (near toes) with your hand, and lift the foot using leg muscles. Repeat these with the right ankle on the left knee.
8) Sit on a table or chair attach a weight (a bucket filled with stones or sand works well) around the foot. Without bending your knee move your foot up and down from the ankle - Start light and work up.
9) Attach one end of a stretching exercise elastic band to the leg of a table or sofa and loop it around the end of the foot. Move your foot up and down and side to side against the bands resistance. Try to draw the letters of the alphabet in the air with your big toe.
10) Stand erect and raise up and down onto your toes several times. You can make it harder by doing it while standing on a step and allowing your calves to stretch over the edge of the step.
11) While sitting lower and raise your feet with the heels on the ground as high and quickly as possible for 60 seconds. This is a great one to do during work days while sitting at your desk.

Best to actually see a doctor about this one. If you want to self-diagnose, do a Google search. There are lots of possibilities.

Basically, it is when your nerve pathways degrade (often due to spinal damage or chronic misalignment, causing pressure on nerves over an extended period of time), resulting in loss of strength and/or control, pain, etc. Been there, done that, no fun at all. Look into the vitamins and minerals that aid nerve healing, and be sure you have a good chiropractor.