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6549 Pathology

A 60-year-old man with diabetes mellitus complains of deep burning pain and sensitivity to touch over his hands and fingers. Nerve conduction studies show slow transmission of impulses and diminished muscle stretch reflexes in ankles and knees. Sensations to vibrations and light touch are also markedly diminished. The development of polyneuropathy in this patient correlates best with which of the following conditions?

AAnti-insulin antibody titer
BHyperglycemia
CInsulin deficiency
DIntermittent hypoglycemia
Pathology
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