Objective:To explore the accuracy of electroneuromyography in the diagnosis of early peripheral neuropathy in patients with diabetes.Methods:64 patients with diabetes hospitalized in our hospital from January 2021 to January 2023 were divided into diabetes peripheral neuropathy(observation group)and diabetes free peripheral neuropathy(control group)according to the situation of diabetes peripheral neuropathy.Results:The research results showed that the sensory and motor conduction velocities of the ulnar nerve,median nerve,common peroneal nerve,and tibial nerve in the observation group were significantly lower than those in the control group(P<0.05).The incidence of abnormal tibial H-reflex and ulnar nerve F-wave in the observation group(87.5%,62.5%)was significantly higher than that in the control group(50.0%,6.25%)(P<0.05).Conclusion:Electromyography can be used to judge the nerve conduction velocity and effectively differentiate diabetes peripheral neuropathy.It has good clinical value.