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EasyNeurologyDiabetic peripheral neuropathyau-amcau-racp

A 52-year-old woman with a 20-year history of type 1 diabetes presents with worsening numbness and burning pain in both feet, worse at night. Examination shows reduced vibration and pinprick sensation in a stocking distribution, with preserved motor power. Foot pulses are intact. Which is the most likely diagnosis?

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