[Diabetic neuropathies: classification and management]

In the management of diabetic patients, systematic detection of asymptomatic neuropathies is essential, requiring periodic search for sensory disturbances of the feet in order to prevent the onset of trophic disorders. The diagnosis of neuropathy is based on clinical examination. Any focal or multifocal neuropathy should be explored as in a non-diabetic patient before concluding that diabetes is involved. Unusual forms (e.g. motor predominance, early onset or rapid development) should be seen by a specialist. Complementary examinations, particularly electromyography, are only indicated in atypical forms.