For Both Type I and Type II diabetes, as they result from chronic ↑ Hyperglycemia (> 7)

T1DM
T2DM

Pathogenesis

↑ Hyperglycemia (> 7) + ischemia → attack to blood vessels (vasa nervorum)
Neuropathy cannot be reversed

Manifestations

DSP → Distal Symmetric Polyneuropathy (Most Common)

Autonomic Neuropathy

Polyradiculopathy

Screening + Diagnosis

Initial Screening	F/O	Management
🩺Diabetic Foot Exam - 3 tests → at Dx	Q1yr	🩺Foot Care , 🚭Smoking cessation Therapy

S/S
- Refer to manifestations
- Neurogenic pain
Physical Exam

Diabetic Foot Exam
Gold Standard Diagnosis
- Peripheral Nerve Conduction Study

Treatment

Preventative measures for DSP → Distal Symmetric Polyneuropathy
Neuropathic Pain management