A 68-year-old woman with diabetes has burning foot pain and loss of monofilament sensation. A1c is 7.5%. She has no ulcer. Pulses are present. Which

Question

A 68-year-old woman with diabetes has burning foot pain and loss of monofilament sensation. A1c is 7.5%. She has no ulcer. Pulses are present. Which of the following is the most appropriate next step in management?

Accepted Answer

Start duloxetine and institute daily foot care education

Answer

Stop diabetes treatment because neuropathy is established

Answer

Use high-dose prednisone

Answer

Begin chronic opioid therapy as first-line treatment

Answer

Schedule prophylactic toe amputation

Diabetic peripheral neuropathy — USMLE Step 3 MCQ

A 68-year-old woman with diabetes has burning foot pain and loss of monofilament sensation. A1c is 7.5%. She has no ulcer. Pulses are present. Which of the following is the most appropriate next step in management?