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uh so a very good morning to everyone here thank you at the outside thank you Dr bunsey for having me for todayamp;#39;s discussion on diabetic neuropathy a burning issue and we all would agree that it is definitely a burning issue which we all see in our routine day-to-day clinical practice yeah so um diabetic neuropathy itamp;#39;s like you know a patientamp;#39;s telling us donamp;#39;t get on my nerves they have enough problems diabetic neuropathy is one of the most common complication which we encounter in our patients with diabetes affecting around 50 percent of our patients and you know this painful neuropathy is associated with increased distress a poor quality of life leading to a reducing reduction in predictability and employment and which indirectly or directly impacts the economic burden on the patient and the healthcare system so around currently the patients which we have diabetes 16 to 20 percent of our patients are suffering from chronic painful diabetic neuropathy