When a medical provider performs a physical examination to evaluate for diabetic neuropathy, the examination often begins with an assessment off sensation in the upper and lower limbs. Your ability to feel light touch as well as pinprick sensation is assessed. One of the earliest clinical signs of diabetic peripheral neuropathy or polyneuropathy is a decrease or loss of pinprick sensation,. Followed by decrease or loss of light touch sensation. This is followed by loss of vibration feeling.

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