National Physical Therapy Examination (NPTE) Practice Exam

For patients with diabetic sensory neuropathy, which treatment guideline is least important?

1. Foot care

2. Orthotics

3. Improving circulation

4. Maintain HbA1c less than 7%

The correct answer is: Improving circulation

The treatment guideline focusing on maintaining HbA1c levels below 7% is particularly important for patients with diabetic sensory neuropathy. Managing blood glucose levels is crucial for overall diabetes management and helps prevent further complications associated with diabetes, including worsening neuropathy. High blood sugar can exacerbate nerve damage, and keeping HbA1c in check can help improve nerve health over time. Foot care is another critical aspect for these patients since they are at a heightened risk for foot ulcers and infections due to loss of sensation. Proper foot care and regular check-ups can prevent serious complications. Orthotics can also play a vital role in providing support and alignment for the foot, which is particularly important for patients with diabetic neuropathy to prevent injuries and promote mobility. Improving circulation is an important factor as well for overall health, but in the context of diabetic sensory neuropathy, it may not hold as much direct weight in the treatment guidelines compared to managing blood glucose levels, practicing foot care, and utilizing orthotics. Circulation issues can arise in those with diabetes, but they are secondary considerations when compared to the immediate needs for glucose management and foot protection in this patient population. Therefore, the emphasis on improving circulation, while still relevant, can be seen as relatively less critical