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Which symptom best indicates diabetic distal symmetric neuropathy in a patient seeking physical therapy?

Painful swelling in the knees.

Blurred vision in both eyes.

Distal symmetric numbness/tingling in the feet.

Diabetic distal symmetric neuropathy presents with sensory changes that start in the feet and legs and occur in a symmetric, distal pattern—the classic stocking-glove distribution. Numbness and tingling in the feet reflect nerve fiber damage from long-standing hyperglycemia and are the hallmark signs clinicians look for when screening a diabetic patient for neuropathy. This sensory loss helps explain why patients may have balance issues and a higher risk of foot ulcers due to loss of protective sensation, which is especially important for physical therapy planning and foot care education. The other symptoms aren’t neuropathy: painful swelling of the knees points to joint or inflammatory issues, blurred vision indicates retinopathy, and chest pain with exertion suggests cardiovascular problems.

Chest pain with exertion.

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