Which Question by the Nurse Will Help Identify Autonomic Neuropathy

Which question by the nurse will help identify autonomic neuropathy in a diabetic patient?

A) "Have you observed any recent skin changes?"
B) "Do you notice any bloating feeling after eating?"
C) "Do you need to increase your insulin dosage when you are stressed?"
D) "Have you noticed any painful new ulcerations or sores on your feet?"