Comprehensive Guide to Neurosensory Examination for Diabetic Neuropathy

Neurosensory examination is a cornerstone in the diagnosis and management of diabetic neuropathy , one of the most common yet under-recognised complications of diabetes. This condition affects up to 50% of long-standing diabetics and is a major contributor to foot ulcers, infections, and lower limb amputations . A structured neurological assessment is essential to detect early sensory changes, assess the severity of nerve involvement, and implement timely interventions. The purpose of neurological assessment is not only to detect the presence of neuropathy but also to guide treatment, prevent complications, and monitor disease progression. Using multiple neurosensory testing levels , from basic bedside tools to advanced diagnostic techniques, clinicians can identify sensory loss early and improve patient outcomes. Types of Diabetic Neuropathy Diabetic neuropathy is a heterogeneous condition and includes several types: Peripheral Neuropathy (distal symmetric polyneuropa...