diabetic neuropathy

diabetic neuropathy, a noninflammatory disease process associated with diabetes mellitus and characterized by sensory and/or motor disturbances in the peripheral nervous system. Patients commonly experience degeneration of sensory nerves and pathways. Early symptoms, which include pain and loss of reflexes in the legs, may occur in patients with only mild hyperglycemia. Diabetes is associated with a wide range of neuropathies, including mononeuritis multiplex, compression and entrapment mononeuropathies, cranial neuropathies, and autonomic and small fiber neuropathies. Differential diagnosis is difficult because not all sensorimotor neuropathies are caused by diabetes.