Diabetic neuropathy

• Facts:
  Common cause of periphery sensory problems in diabetics
  Symmetric stocking and glove sensory loss (affects LMN)
• History / PE:
  Numbness, tingling
  Motor symptoms (late, severe diabetic neuropathy )
• Diagnosis:
  Nerve conduction studies
  Spine MRI (rule out cord compression)
• Treatment:
  Gabapentin and amitriptyline
• Notes:
  Hyperactive reflexes, Babinski sign are suggestive of UMN problem
• See Also:
  Diabetes mellitus type 1
  Diabetes mellitus type 2