Treatment Test Your Knowledge on Diabetes: Foot Pain AUTHOR: Edward Shahady, MD Emeritus Professor and Chairman, Family Medicine University of North Carolina, Chapel Hill, North Carolina <section><h2><p>Test Your Knowledge on Diabetes: Foot Pain</p></h2><p><p>In this “Test Your Knowledge” series, Edward Shahady, MD, asks you about treating an older man with long-term diabetes who presents with foot pain.</p></p></section><section><h2><p><span style="font-size:16px;">Pete is a 65-year-old man with type 2 diabetes of 15 years’ duration. His diabetes is fairly well controlled, and his last hemoglobin A<sub>1c</sub> level was 6.9%. He is reporting a burning sensation in both feet.</span><p><span style="font-size:16px;"> </span></p><p><span style="font-size:16px;">A physical examination reveals that his feet are sensitive to the touch, and he has difficulty differentiating hot from cold water. The symptoms are worse at night, he reports. He also notes that his gait is unsteady.</span></p><p><span style="font-size:16px;"> </span></p><p><span style="font-size:16px;">Which one of the following statements is correct?</span></p></p></h2></section><section><h2><h2><strong>Better luck next time!</strong></h2></h2></section><section><h3><h2><strong>Good job!</strong></h2></h3></section>
