I was in your position four years ago. I found my neurologist at Mass General. She is one of the leading pain researchers in the field and pointed to my pre-diabetic status as a possible cause of my nerve pain. As a result, I ended up having Gastric Bypass surgery to take care of my weight issues, which resolved many co-morbid conditions including glucose intolerance, sleep apnea, high cholesterol and high blood pressure. I lost 125 pounds doing this and got into the best shape of my life, despite the nerve pain. It was hoped that my SFN would resolve itself. In many cases it can.

Unfortunately, it seems that my SFN may instead be autoimmune related. I am waiting for more answers from my doctors. Taking care of your blood sugar is definitely an important piece of the puzzle. Good luck.