What are the criteria used to define distal symmetrical sensorimotor diabetic polyneuropathy?

Updated: Jan 08, 2019
  • Author: Dianna Quan, MD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Symmetrical polyneuropathies involve multiple nerves diffusely and symmetrically. Distal symmetrical sensorimotor polyneuropathy is the most common manifestation of diabetic neuropathy. The syndrome has been defined in many ways, but 3 key criteria are commonly accepted:

  • The patient must have diabetes mellitus by one of the widely accepted definitions such as those outlined by the American Diabetes Association or World Health Organization [56, 57]

  • The severity of polyneuropathy should be commensurate with the duration and severity of the diabetes

  • Other causes of sensorimotor polyneuropathy must be excluded


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