You're certainly not alone--peripheral neuropathy of the extremities, especially damage to the small, unmyelinated fibers that subsume the sensations of pain and temperature--is certainly a common consequence of diabetes, or even of impaired glucose tolerance pre-diabetes.

Good sugar control may help in time, as can a variety of supplements, as nerves can re-generate if the process damaging them is arrested--this happens EXTREMELY slowly, though, and is often accompanied by sensations that make you think the situation is worsening (healing nerves can be quite painful as the brain learns to interpret the sensations produced by new connections).

As for the pain, many use a combination of things, not just one drug. Anti-epileptics such as gabapentin (Neurontin) and pregabalin (Lyrica) are often tried in concert with anti-depressants such as amitriptyline (Elavil) to get a synergistic effect. Others may find opiods or opioid analogues such as Tramadol better. Benfotiamine, a fat solubule vitamin B1 form, is also reported to help with burning pain. Each of us is an experiment of one, and has to find the protocol that works best for us.

You should come visit our neuropathy forum--the knowledge there rivals that of any research university:

http://neurotalk.psychcentral.com/fo...sprune=-1&f=20