A client with a long history of type 2 diabetes mellitus complains of occasional cold and numb hands and feet. Based on this data, which diagnosis does the nurse anticipate?
A) High blood glucose level
B) Low blood glucose level
C) Peripheral neuropathy
D) Pancreatitis
Answer: C
Systemic diseases are often the cause of peripheral neuropathy. Damage from disease processes, such as metabolic and endocrine disorders, affects the body's ability to process waste products and utilize nutrients. At least half of all people with diabetes develop some type of neuropathy. The client's complaint of cold and numb feet and hands cannot be directly linked to a low blood glucose level or a high blood glucose level. Pancreatitis is not directly linked to peripheral neuropathy.
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