A 42-year old man with Type 2 Diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.”

A 42-year old man with Type 2 Diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense and +1 Achilles reflex. The nurse practitioner (NP) suspects neuropathy and educates the patient: Question 40 options: “The incidence of neuropathy normally increases over time once diagnosed with diabetes.” “You should be screened at the time of diagnosis and every 5 years for neuropathy.” “It is more prevalent in individuals that have high serum insulin concentrations.” “Neuropathy can result in loss of coordination of your limbs.”