A client with a long history of type 2 diabetes mellitus complains of occasional coldness and numbness in both hands and both feet. These complaints are suggestive of which condition?

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A)Polyneuropathies, the most common types of neuropathy associated with diabetes, are bilateral sensory disorders. The manifestations appear first in the toes and feet and progress upward. The fingers and hands also may be involved, but usually only in later stages of diabetes. Mononeuropathies are isolated and affect only single nerves; they are commonly associated with injury or trauma. An idiopathic peripheral neuropathy would have no known cause, but for this client diabetes would be a likely cause of neuropathy, and diabetes is not hereditary, so there is no reason to suspect hereditary peripheral neuropathy.
B)Polyneuropathies, the most common types of neuropathy associated with diabetes, are bilateral sensory disorders. The manifestations appear first in the toes and feet and progress upward. The fingers and hands also may be involved, but usually only in later stages of diabetes. Mononeuropathies are isolated and affect only single nerves; they are commonly associated with injury or trauma. An idiopathic peripheral neuropathy would have no known cause, but for this client diabetes would be a likely cause of neuropathy, and diabetes is not hereditary, so there is no reason to suspect hereditary peripheral neuropathy.
C)Polyneuropathies, the most common types of neuropathy associated with diabetes, are bilateral sensory disorders. The manifestations appear first in the toes and feet and progress upward. The fingers and hands also may be involved, but usually only in later stages of diabetes. Mononeuropathies are isolated and affect only single nerves; they are commonly associated with injury or trauma. An idiopathic peripheral neuropathy would have no known cause, but for this client diabetes would be a likely cause of neuropathy, and diabetes is not hereditary, so there is no reason to suspect hereditary peripheral neuropathy.
D)Polyneuropathies, the most common types of neuropathy associated with diabetes, are bilateral sensory disorders. The manifestations appear first in the toes and feet and progress upward. The fingers and hands also may be involved, but usually only in later stages of diabetes. Mononeuropathies are isolated and affect only single nerves; they are commonly associated with injury or trauma. An idiopathic peripheral neuropathy would have no known cause, but for this client diabetes would be a likely cause of neuropathy, and diabetes is not hereditary, so there is no reason to suspect hereditary peripheral neuropathy.

A Client with a Long History of Type 2 Diabetes