Which of the following is most characteristic of diabetic neuropathy?
Diabetic neuropathy usually presents as peripheral polyneuropathy, usually bilateral, including symptoms of numbness, paresthesia, severe hyperesthesia, and pain. Impairment of proprioceptive fibers can lead to gait abnormalities and Charcot's joints. Mononeuropathy is less common and is often spontaneously reversible. Common syndromes include wrist or foot drop and third, fourth, or sixth cranial nerve palsies. Autonomic neuropathy may cause gastroesophageal dysfunction, bladder dysfunction, and orthostatic hypotension.
it is usually bilateral
pain is not a feature
it most commonly affects the brain
it spares the autonomic system
Endocrinology