“…49 Approximately 66% of individuals with diabetes suffer from peripheral neuropathy in their lower extremity. There are several factors responsible for neuropathy, namely, abnormalities in the metabolism of fatty acids, 50 pre-diabetes neuropathy, 51,52 protein kinase-C pathway activation, 53 myoinisitol, 54 formation of glycated end products, 55 production of neural tissues, 56 and production of growth factors. 57 DN is also influenced by peripheral axonal degeneration, decreased blood supply, nerve conduction and segmental demyelination, culminating in callus formation.…”