<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 61-year-old woman comes to the physician for evaluation of numbness and a burning sensation in her feet for the past 5 months. She has type 2 diabetes mellitus and hypercholesterolemia. Her blood pressure is 11982 mm Hg. Neurologic examination shows decreased sensation to pinprick, light touch, and vibration over the soles of both feet. There is a nontender ulcer on the plantar surface of her left foot. Pedal pulses are strong bilaterally. Her hemoglobin A1c concentration is 8.6. Which of the following processes is most likely involved in the pathogenesis of this patients current symptoms?? A: Demyelination of posterior columns and lateral corticospinal tracts, B: Accumulation of lipids and foam cells in arteries, C: Increased protein deposition in endoneural vessel walls, D: Osmotic damage to oligodendrocyte nerve sheaths, E: Elevated hydrostatic pressure in arteriolar lumen,  <response>: This is a patient with type 2 diabetes mellitus presenting with numbness and burning sensation in the feet as well as decreased sensation on exam. The key details are the longstanding diabetes, peripheral neuropathy symptoms, and physical exam findings of decreased sensation in the feet. This indicates a diagnosis of diabetic peripheral neuropathy. The pathogenesis involves hyperglycemia leading to metabolic abnormalities and microvascular changes that cause nerve damage. C: Increased protein deposition in endoneural vessel walls 