24th August 2023

A 58-year-old man with a 15-year history of type 2 diabetes presents with numbness and tingling in his feet

A 58-year-old man with a 15-year history of type 2 diabetes presents with numbness and tingling in his feet for the past 6 months. He states that the symptoms are worse at night. On examination, you note diminished vibration sense in his feet.

What would be the first-line treatment for this patient’s symptoms?