A 60-year-old patient with long-standing type 2 diabetes presents with burning pain and numbness in both feet, worse at night, consistent with diabetic peripheral neuropathy. His HbA1c is 7.5%. Which medication is the most appropriate initial treatment for his neuropathic pain?

The correct answer to the question "A 60-year-old patient with long-standing type 2 diabetes presents with burning pain and numbness in both feet, worse at night, consistent with diabetic peripheral neuropathy. His HbA1c is 7.5%. Which medication is the most appropriate initial treatment for his neuropathic pain?" is Option B: Gabapentin..

The other options — A) Metformin., C) Lisinopril., D) Insulin glargine. — are incorrect for this USMLE Exam Prep question. As explained above: Gabapentin is a first-line medication specifically indicated for the management of neuropathic pain, including that caused by diabetic neuropathy. Metformin and insulin manage glucose, and lisinopril…