I was diagnosed as a type II diabetic 16 years ago with "controlled" HA1C under 7.0 all this time - no medications. Until August, when it hit 7.2 and now I'm on metformin, 1000mg/day.
I had a year of tender feet then in May of this year they started to burn. They are now stabbing and burning. My insomnia is severe and has lasted about 2 years, and it is idiopathic if not related to high blood sugar or budding neuropathy.
My EMG was normal, all bloodwork other than diabetes normal. The neuro who did my EMG said I might have Small Fiber Neuropathy, and I read every medical article on it I could find, brought it up to my family doctor, who said I have diabetic neuropathy and put me on Gabapentin, now up to 600mg 2x a day. Yet on the outtake sheet to give to billing, from my discussion with him, he wrote the ICD codes for Type II Diabetes, "Without Complications" and "Unknown Psychophysiological Disorder". He thinks I'm depressed. By the clinical definition of depression sure I am, but so is every person dealing with real sickness.
I'm trying to get FMLA paperwork filled out before my job goes into jeopardy because I've missed about 10% of my time due to either terrible pain or lack of any sleep or both. With gabapentin, getting used to the side effects has had a real impact on my productivity too. (Sit down intellectual type job.)

1) How did you actually get your diagnosis of small fiber neuropathy?
2) Did anyone else have trouble with their general doctor?