A．He smashes it with its long powerful tail.

B．He bites it with its teribble pointed teeth.

C．He holds it below the water until it drowns.

D．He swallows it because he has a huge mouth.

患者，女性，50岁。糖尿病史9年。因双足趾端麻木，大腿皮肤刺痛3个月余就诊。查体：双手骨间肌萎缩，肌力Ⅳ级，病理反射（-）。空腹血糖14.Immol／L，血酮（-）。应考虑糖尿病慢性并发症是（）

A.周围神经病变

B.自主神经病变

C.视网膜病变

D.脑血管病变

E.肾脏病变