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ModerateEndocrinologyPainful diabetic neuropathyuk-plab-1

A 59-year-old man with long-standing type 2 diabetes presents with burning pain and numbness in both feet, worse at night. Examination shows reduced vibration and pinprick sensation in a stocking distribution. His HbA1c is 70 mmol/mol. Which is the most appropriate initial pharmacological treatment for his neuropathic pain?

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