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. 2016 Sep 1;10(9):CC14–CC17. doi: 10.7860/JCDR/2016/20004.8515

[Table/Fig-1]:

Dyck’s grading system used for staging severity of diabetic peripheral neuropathy.

Stage Evidence DPN
N0 N0 objective evidence of DN
N1 Asymptomatic polyneuropathy
N1a: No symptoms or signs but neuropathic test abnormalities
N1b: Test abnormalities* plus neuropathy impairment on neurological exam
N2 Symptomatic neuropathy
N2a: Symptoms, signs, and test abnormality
N2b: N2a plus significant ankle dorsiflexor weakness
N3 Disabling polyneuropathy

* Electrophysiological Abnormalities