A 65-year-old man comes to the physician because of a non-healing ulcer on his right foot. His past medical history is significant for recurrent high blood glucose readings for the last several years, because he has failed to comply with appropriate treatment. His BMI is 37 kg/m?. Physical examination is significant for a bilateral symmetric decrease in vibration sensation over the feet and ankles. Which of the following is most likely to be associated with this patient's condition?
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