Hello, Craig, and welcome to the PN forum.

I would like to ask you since you have controlled diabetes, if you have had any blood work for B12 and Vit D levels?

Many of us here have improvements in peripheral pain, with improving low levels of those two nutrients.

Is your pain, nerve pain? Joint pain? muscle pain?

Also some pain, in MS, (I see you posting on MS)...is central, meaning in the brain. So if that is the case for you, then pain management is the only way for you to go.

If your pain is mixed, then peripheral interventions include Lidoderm patches, various cooling rubs with Menthol in them,
even strong magnets (if you can locate one nerve specifically to block).

Diabetic neuropathy has some supplements that may work.
Magnesium (because diabetics lose this thru the urine)
Benfotiamine (a better form of thiamine B1)
lipoic acid.

These have studies behind them as useful in diabetics.
Acetyl carnitine is showing in some studies benefits as well.

Pain management may offer you Neurontin or Lyrica for blocking some pain at the spinal cord level, antidepressants for acting on central pain in the brain, and for severe unremitting pain there are opiates that may be offered. Some of us use Ultram/tramadol with success. The pain doctor would consider implantable devices if you have the criteria for them. Most pain management doctors do not recommend supplements. But I would ask for the blood work to be done for D and B12.
Here is why:
http://neurotalk.psychcentral.com/sh...hlight=vitamin
Many people are showing up on these forums with very low D and also very low levels make pain much worse. So you need to discover if this is true for you, as the treatment is very inexpensive, useful, and may take care of much of your discomfort.

Some people here do use opiates, some don't, and some have used and quit them. It is a very personal decision, and people vary in their response to them.

Also consider some lifestyle changes. Particularly removing gluten from your diet, to see if that helps:
http://neurotalk.psychcentral.com/thread121516.html