Diagnosis of exclusion
Most prevalent chronic complication of diabetes, risk of injuries due to insensate feet
Ultimately need follow up with primary care, not to be managed in the ED
Distal symmetric polyneuropathy (DSPN), most common at 75% of all<unk> es
Mononeuropathies (cranial nerves, radiculopathy)<unk>  autonomic<unk> es
Cardiovascular (tachycardia, orthostatic hypotension, malignant arrhythmia)
Gastrointestinal (gastroparesis,<unk>  enteropathy with diarrhea, colonic hypomotility with constipation)
Urogenital (neurogenic bladder, erectile dysfunction)
Sudomotor (hypohydrosis, anhidrosis)
Cardiovascular (tachycardia, orthostatic hypotension, malignant arrhythmia)
Gastrointestinal (gastroparesis,<unk>  enteropathy with diarrhea, colonic hypomotility with constipation)
Urogenital (neurogenic bladder, erectile dysfunction)
Sudomotor (hypohydrosis, anhidrosis)
Diabetic peripheral neuropathy
Physiologic stress response 
Axillary neuropathy
Diabetes mellitus 
Chronic inflammatory demyelinating polyneuropathy
Nonketotic hyperglycemia
Spinal accessory neuropathy
Hyperosmolar hyperglycemic state 