Limited Care
• Screen and diagnose sensorimotor nerve damage by history of symptoms, and sensory assessment by 10 g monofilament or tuning fork with/without non-traumatic disposable pin-prick.
• NSS and NDS in T2DM population has been found to be a useful resource in evaluating diabetic sensorimotor polyneuropathy as an important bed side tool.
• Manage symptomatic (painful) diabetic neuropathy by excluding other causes, stabilizing glycaemic control, and treatment with tricyclic antidepressants if simple analgesia is not successful. Opiate analgesia may be necessary as locally available.
• Assess erectile dysfunction by history and examination and consider possible contributions of other medication or disease.