A 61-year-old man with a 20-year history of type 2 diabetes mellitus is evaluated for bilateral burning sensation in his feet for the last 8 months, which worsens at night His Haemoglobin A1c levels have remained less than 7 0% for the last 1 years but were between 9 0% and 10.0% before adding insulin therapy to metformin 1 years ago His medical history includes coronary artery disease. non-proliferative diabetic retinopathy, hypertension, and hyperlipidemia Medications are aspart insulin, glargine. Aspirin . metoprolol, atorvastatin, and lisinopril. On physical examination, findings are compatible with distal symmetrical polyneuropathy.  the most appropriate management of this patient’s neuropathy? 

A. Amitriptyline

B.  Tight blood sugar control

C.  Vitamin B12 supplements

D.  Physiotherapy

Right is : A. Amitriptyline Confirmed by