Wonder if I will still be alive in 2019. I will be 68 this year and have suffered from sarcoidosis for more than 40 years. Tired of it and all of its crazy complications. There is much more known about diabetes than sarcoidosis, hence the title "orphan disease." No matter, whether related to sarcoidosis or diabetes, anyone with autonomic small fiber neuropathy needs help. Don't know much about how small fiber neuropathy works with diabetes patients. Does it also mess with heart beats, temperatures and cause orthostatic hypotension, along with pain, numbness, etc?