- Vascular or focal origin, such as simple or multiple neuropathy, radiculopathy, plexopathia and cranial neuropathy. There are some symptoms such as pain, anesthesia, anhidrosis, extremities proximal debility, etc.
- Methabolic or diffuse origin. It takes in the distal symmetric sensorimotor polyneuropathy and the autonomic neuropathy. There are some symptoms such as the deep sensibility and also of reflexes.
In those diabetic patients it’s important to have a sensibility control as frequently as each case will require. In this sensibility control we will assess the perception level to pain, to the taction, to the body temperature, to the pressure and to the vibration. It’s also important the reflex control and a vascular examination which includes a control by doppler, pulse palpations and a skin examination (staining, temperature, aspect). The most frequent complications of the diabetic foot are the Charcot’s arthopathy and the neuropathic ulcer. Such ulcers are mainly caused by the alteration of sensibility, low glycemic control, tobacco, alcohol, etc.